[Risk of introduction and spread of polioviruses in closed-type child-care facilities]

Zhurnal Mikrobiologii, Epidemiologii I Immunobiologii
|March 31, 2015
PubMed

Insights

Oral poliomyelitis vaccine (OPV) resulted in higher poliovirus isolation rates in orphanages compared to inactivated polio vaccine (IPV). Strict prophylaxis is essential to maintain poliomyelitis-free status in closed facilities.

Area of Science:

  • Virology
  • Immunology
  • Public Health

Context:

  • Poliovirus circulation in closed settings like orphanages poses a public health risk.
  • Vaccination strategies significantly impact poliovirus detection rates.

Purpose:

  • To compare the frequency of poliovirus isolation in children residing in orphanages before and after a shift in the poliomyelitis vaccination schedule.
  • To evaluate the effectiveness of oral poliomyelitis vaccine (OPV) versus inactivated polio vaccine (IPV) in reducing poliovirus detection in a vulnerable population.

Summary:

  • A study involving 207 children receiving OPV and 259 children receiving IPV in orphanages found significantly higher poliovirus isolation rates (16.9%) with OPV compared to IPV (6.1%).
  • All isolated polioviruses were identified as Sabin vaccine strains, indicating vaccine-related shedding.
  • The findings highlight the importance of vaccination type in controlling poliovirus in institutionalized settings.

Impact:

  • The study underscores the need for stringent control measures in closed facilities to prevent poliovirus introduction and transmission.
  • Maintaining a high level of surveillance and appropriate vaccination strategies is crucial for sustaining the poliomyelitis-free status of the Russian Federation.
Abstract

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