Outbreak of Poliomyelitis in Hispaniola Associated with Circulating Type 1 Vaccine-Derived Poliovirus

Author:

Kew Olen1,Morris-Glasgow Victoria2,Landaverde Mauricio3,Burns Cara1,Shaw Jing1,Garib Zacarı́as4,André Jean5,Blackman Elizabeth2,Freeman C. Jason1,Jorba Jaume1,Sutter Roland6,Tambini Gina3,Venczel Linda3,Pedreira Cristina7,Laender Fernando8,Shimizu Hiroyuki9,Yoneyama Tetsuo9,Miyamura Tatsuo9,van der Avoort Harrie10,Oberste M. Steven1,Kilpatrick David1,Cochi Stephen6,Pallansch Mark1,de Quadros Ciro3

Affiliation:

1. Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention (CDC), 1600 Clifton Road, Atlanta, GA 30333, USA.

2. Caribbean Epidemiology Centre (CAREC) Laboratory, Pan American Health Organization (PAHO), 16-18 Jamaica Boulevard, Federation Park, Port-of-Spain, Trinidad and Tobago.

3. Division of Vaccines and Immunization, PAHO, 525 Twenty-Third Street, N.W., Washington, DC 20037, USA.

4. Ministry of Health, Avenida San Cristóbal esquina Tiradentes, Santo Domingo, Dominican Republic.

5. Ministry of Public Health, Port-au-Prince, Haiti.

6. Vaccine Preventable Disease Eradication Division, National Immunization Program, CDC, 1600 Clifton Road, Atlanta, GA 30333, USA.

7. PAHO, Calle Pepillo Salcedo, Plaza de la Salud, Santo Domingo, Dominican Republic.

8. PAHO, Number 295 Avenue John Brown, Port-au-Prince, Haiti.

9. Department of Virology II, National Institute of Infectious Diseases, Toyama 1-23-1, Shinjuku-ku, Tokyo 162, Japan.

10. Polio Laboratory, National Institute of Public Health and the Environment (RIVM), Antonie van Leeuwenhoeklaan 9, 3720 BA, Bilthoven, Netherlands.

Abstract

An outbreak of paralytic poliomyelitis occurred in the Dominican Republic (13 confirmed cases) and Haiti (8 confirmed cases, including 2 fatal cases) during 2000–2001. All but one of the patients were either unvaccinated or incompletely vaccinated children, and cases occurred in communities with very low (7 to 40%) rates of coverage with oral poliovirus vaccine (OPV). The outbreak was associated with the circulation of a derivative of the type 1 OPV strain, probably originating from a single OPV dose given in 1998–1999. The vaccine-derived poliovirus associated with the outbreak had biological properties indistinguishable from those of wild poliovirus.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

Reference26 articles.

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2. C. A. de Quadros et al. J. Infect. Dis. 175 (suppl. 1) S37 (1997).

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4. Molecular detection of an importation of type 3 wild poliovirus into Canada from The Netherlands in 1993

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