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The Lancet. Polio emergence in Syria and Israel endangers Europe

Giuseppe

Emeritus
[Source: The Lancet, full page: (LINK). Extract.]


The Lancet, Early Online Publication, 8 November 2013
doi:10.1016/S0140-6736(13)62220-5

Copyright ? 2013 Elsevier Ltd All rights reserved.

Polio emergence in Syria and Israel endangers Europe

Martin Eichner a, Stefan O Brockmann b
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WHO has confirmed an outbreak of at least ten cases of polio in Syria, where vaccination coverage has dramatically decreased during the civil war.1 Furthermore, wild-type poliovirus 1 (WPV1) has been isolated from sewage and faeces from asymptomatic carriers in Israel since February, 2013.2 Tourists and travellers could bring the infection to other countries. Precautions during the Hajj in Saudi Arabia in October, 2013, ensured that visitors from regions with known polio transmission were vaccinated, but Syria was not on the list.3

(?)

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References

1) WHO. Third dose of polio vaccine. Reported estimates of Pol3 coverage.http://apps.who.int/immunization_monitoring/globalsummary/timeseries/tscoveragepol3.html. (accessed Oct 31, 2013).

2) European Centre for Disease Prevention and Control. Wild-type poliovirus 1 transmission in Israel ? what is the risk to the EU/EEA?. Stockholm: ECDC, 2013. http://www.ecdc.europa.eu/en/publications/Publications/polio-risk-assessment-transmission-in-Israel.pdf. (accessed Oct 31, 2013).

3) Saudi Arabia?Ministry of Health. Hajj and Umrah e-portal.http://www.moh.gov.sa/en/Hajj/HealthGuidelines/HealthGuidelinesDuringHajj/Pages/Poliomyelitis.aspx. (accessed Oct 31, 2013).

(?)

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a University of Tubingen, Institute of Clinical Epidemiology and Appplied Biometry, 72076 Tubingen, Germany; b Department for Infection Control, Regional Public Health Office, Landratsamt, Kreisgesundheitsamt, Reutlingen, Germany.


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