The ghost of polio haunts us once again. The appeal of the scientific community is clear: "Vaccinate your kids today!"

Vaccine. 2023 Aug 14;41(36):5338-5341. doi: 10.1016/j.vaccine.2023.07.029. Epub 2023 Jul 24.

Abstract

Introduction: In the summer of 2022, a vaccination campaign for the prevention of poliomyelitis was launched and "The CDC recommend that all children be vaccinated against polio, or poliomyelitis". The scientific community is on the alert for new cases of polio, which is spreading. Although polio seemed to have been almost completely eradicated throughout the world, the disease has surprisingly reappeared in some Western countries. The risk of international spread of poliovirus remains a Public Health Emergency of International Concern (PHEIC).

Method: The authors reviewed recent polio cases in some western countries which have caused significant public health concern and they underline the meaning and weight of this issue emphasizing the importance of vaccination.

Discussion: In June 2022, the British authorities announced that they had detected traces of a form of polio derived from a vaccine strain in the wastewater of some London boroughs. Although no cases of disease were identified, the British government immediately announced that it was proceeding to reinstate polio vaccination for all children. A few weeks later, on July 18, 2022, the New Jersey Department of Health notified the CDCP of the detection of type-2 poliovirus in an unvaccinated young man in the New York metropolitan area. This case immediately triggered an appeal from the CDCP to get vaccinated and, above all, to vaccinate children. Low vaccination coverage means that the population is constantly at risk of further cases of paralytic poliomyelitis.

Conclusion: The appeal to vaccinate children against polio is crucial, as prevention through vaccination is the only defense against the disease. We think that an efficient vaccination campaign can positively influence the process of eliminating the virus. At the same time, however, it demonstrates that simply lowering one's guard can quickly lead to a resurgence of polio cases. Hence, until polio is eradicated, we can be sure that contagion by the wild virus and the risk of vaccine-derived poliovirus will remain possible.

Keywords: Albert Sabin; Global health; Medical history; Poliomyelitis; Public health.

MeSH terms

  • Child
  • Humans
  • Poliomyelitis* / epidemiology
  • Poliovirus Vaccine, Inactivated
  • Poliovirus Vaccine, Oral / therapeutic use
  • Poliovirus*
  • Vaccination

Substances

  • Poliovirus Vaccine, Oral
  • Poliovirus Vaccine, Inactivated