Emergence of genetically linked vaccine-originated poliovirus type 2 in the absence of oral polio vaccine, Jerusalem, April to July 2022

Author:

Zuckerman Neta S1,Bar-Or Itay1,Sofer Danit1,Bucris Efrat1,Morad Hagar1,Shulman Lester M1,Levi Nofar1,Weiss Leah1,Aguvaev Irina1,Cohen Zvi1,Kestin Klil1,Vasserman Rinat1,Elul Michal1,Fratty Ilana S21,Geva Miranda1,Wax Marina1,Erster Oran1,Yishai Ruth3,Hecht-Sagie Lior4,Alroy-Preis Sharon4,Mendelson Ella51,Weil Merav1

Affiliation:

1. Central Virology Laboratory, Public Health Services, Ministry of Health, Chaim Sheba Medical Center, Ramat Gan, Israel

2. The Israel Center for Disease Control, Israel Ministry of Health, Ramat-Gan, Israel

3. Department of Laboratories, Public Health Services, Ministry of Health, Jerusalem, Israel

4. Public Health Services, Ministry of Health, Jerusalem, Israel

5. School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel

Abstract

We report an emergence and increase in poliovirus type 2 detection via routine wastewater surveillance in three non-overlapping regions in the Jerusalem region, Israel, between April and July 2022. Sequencing showed genetic linkage among isolates and accumulation of mutations over time, with two isolates defined as vaccine-derived polioviruses (VDPV). This demonstrates the emergence and potential circulation of type 2 VDPV in a high-income country with high vaccine coverage and underscores the importance of routine wastewater surveillance during the polio eradication.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference14 articles.

1. World Health organization (WHO). Circulating vaccine-derived poliovirus type 3 – Israel. Geneva: WHO; 2022. Available from: https://www.who.int/emergencies/disease-outbreak-news/item/2022-DON366

2. Vaccine-derived polioviruses.;Burns;J Infect Dis,2014

3. SPAdes: a new genome assembly algorithm and its applications to single-cell sequencing.;Bankevich;J Comput Biol,2012

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