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posted by hubie on Friday September 23 2022, @04:37AM   Printer-friendly

US officially added to WHO's list of poliovirus outbreak countries:

The United States, one of the world's richest and most developed countries, has met the World Health Organization's criteria to be listed as a country with circulating vaccine-derived poliovirus, the US Centers for Disease Control and Prevention announced Tuesday.

The US now joins the ranks of around 30 other polio outbreak countries, largely low- and middle-income, including Ethiopia, Mozambique, Somalia, and Yemen. Notably, the list includes just two other high-income countries—the United Kingdom and Israel—which have detected the circulation of a poliovirus strain genetically linked to the one spreading in the US.

[...] Inclusion on the WHO's polio outbreak list is a new low point for the US. On the one hand, it reinforces a key global public health message in the campaign to fully eradicate that virus, which is that "any form of poliovirus anywhere is a threat to children everywhere." But it mainly spotlights the dangerous foothold that anti-vaccine sentiments have gained in the country over the past several decades.

[...] Polio is a particularly prime target for anti-vaccine misinformation. Much of the poliovirus currently circulating in the world today—including in the US—is derived from oral vaccines, which use live, weakened poliovirus to spur immunity. Oral polio vaccines are highly effective at protecting against paralytic polio and are safe and affordable. But, if they're used in areas with low vaccination rates, the harmless, immunizing vaccine viruses can spread to others through poor sanitation and/or hygiene. If the vaccine continues to move from person to person, it can pick up mutations along the way that allow it to regain the ability to cause infection and paralytic polio. At this point, the vaccine virus is reclassified as a vaccine-derived poliovirus (VDPV).

The circulation of VDPV has been gobbled up by dangerous anti-vaccine advocates—such as Robert F. Kennedy Jr. and his organization, Children's Health Defense—who giddily tout the false claim that polio vaccines cause polio. To be clear, polio vaccines are highly effective at safely preventing polio. As always, the lack of polio vaccination causes polio outbreaks.

The US has not licensed or used oral polio vaccines since 2000. Instead, the US and many other high-income countries now use an inactivated polio vaccine, which does not include a live virus. Nevertheless, a VDPV is what is spreading in the US. [...]

Related:
    1st Polio Case Reported in US in Nearly a Decade Detected in New York State
    Poliovirus May be Spreading in London; Virus Detected in Sewage for Months
    Ohio Lawmakers Want to Abolish Vaccine Requirements


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  • (Score: 5, Insightful) by PiMuNu on Friday September 23 2022, @10:17AM (2 children)

    by PiMuNu (3823) on Friday September 23 2022, @10:17AM (#1273134)

    From TFA
    > by documenting a patient with vaccine-derived poliovirus and having at least one environmental sample of vaccine-derived poliovirus
    > 57 positive samples [in wastewater]

    A single patient... who could not even be USian. Given the number of people travelling through and immigrating to US, some from low and middle income countries, this is more-or-less inevitable.

    Note waste water surveillance is new since covid. It is not clear which countries have deployed such surveillance. So the list of polio countries may just be the list of countries which have implemented such surveillance.

    Starting Score:    1  point
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  • (Score: 1) by khallow on Friday September 23 2022, @11:53AM (1 child)

    by khallow (3766) Subscriber Badge on Friday September 23 2022, @11:53AM (#1273144) Journal
    I read of similar waste water surveillance in Europe for covid.
    • (Score: 3, Insightful) by PiMuNu on Friday September 23 2022, @01:21PM

      by PiMuNu (3823) on Friday September 23 2022, @01:21PM (#1273157)

      May be true - nonetheless US is not terrible for vaccination rate - 93 % according to WHO, comparable to UK and Germany, low compared to France.

      https://ourworldindata.org/polio [ourworldindata.org]

      (chart 10)

      However, UK (and maybe US?) has had a big immigration from Afghanistan in the last 2 years and UK certainly has a large population of folks of Pakistani origin, who likely travel to that region more frequently. I would guess this is more significant effect than vaccination rates. None of this stuff is mentioned in the article.