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Poliomyelitis in Isolated Populations
Francis L. Black, PhD
Yale University New Haven, Conn
JAMA. 1975;232(5):486.
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To the Editor.—
I was interested in the recent article by Lewis and Brannon (230:1295, 1974) on two cases of presumed poliomyelitis in the Trio Indians of Surinam. We have observed another instance of paralytic disease in an approximately 30-year-old member of the Brazilian branch of the same tribe.1 This man had antibody to type 2 poliomyelitis only, indicating that if the disease were poliomyelitis it must have been type 2. The six reported cases together represent an incidence of paralytic disease of about 1/100. This is comparable to the 1/125 rate calculated by Paul et al2 in a 1930 epidemic of type 2 in Eskimos of northern Alaska. Higher rates have been reported in type 1 outbreaks2,3 in isolated groups, but urban epidemics have not been as virulent, presumably because of previously acquired immunity.
What has seemed to us more remarkable than the fact that poliomyelitis
. . . [Full Text PDF of this Article]
Footnotes
Edited by John D. Archer, MD, Senior Editor.
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