May 29, 2013
Karie Youngdahl
A recent paper published in Journal of Virology describes sporadic and sustained outbreaks of illness from vaccine-derived polioviruses in Nigeria. This study draws attention to what is often called the polio endgame – the vaccines and immunization activities that will be necessary to eradicate polio, given the ability of vaccine-derived viruses from the live polio vaccines to circulate and cause disease. To understand the complications of eradicating polio, it’s necessary to know that three types of wild poliovirus have been identified. Types 1 and 3 are responsible for all cases of wild polio in the remaining polio-endemic countries of Pakistan and Nigeria. (Very recent polio cases in Kenya and Somalia are due to Type 1 wild poliovirus.) Type 2 wild poliovirus has not been detected since 1999, when it was found in Uttar Pradesh, India. It is presumed to be eliminated. More