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JAMA. 2010;304(10):1056. doi: 10.1001/jama.2010.1288

Have Polio-Free Countries Lost Sight of Need to Keep Vaccination Rates High?

Since this article does not have an abstract, we have provided the first 150 words of the full text.

A recent alarm warning against complacency in polio vaccination has come from an unlikely place: Canada.

Infectious poliomyelitis, eradicated in much of the world during the past 2 decades, remains endemic only in Nigeria, India, Afghanistan, and Pakistan. But a new outbreak last spring in Tajikistan has resulted in 452 laboratory-confirmed cases of wild poliovirus type 1 and 20 deaths. At least 7 related cases have been reported in the Russian Federation.

Figure

The first polio outbreak in a World Health Organization–certified polio-free region has sparked a warning for renewed vigilance in maintaining high vaccination rates.

(Photo credit: WHO)

The outbreak is the first to strike a World Health Organization (WHO)–certified polio-free region. Tajikistan is in the WHO European Region, which was certified polio-free in 2002.

Tajikistan's outbreak, imported from northern India, prompted a bluntly worded editorial in the Canadian Medical Association Journal (CMAJ). The Journal 's public health section editor, Noni MacDonald, MD, …

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