Cited by 318Viral Infections and Immunology ResearchViral gastroenteritis research and epidemiologyVaccine Coverage and Hesitancy

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Role of environmental poliovirus surveillance in global polio eradication and beyond

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HOVI, T., SHULMAN, L. M., VAN DER AVOORT, H., DESHPANDE, J., ROIVAINEN, M., DE GOURVILLE, E. M.·2012·Epidemiology and Infection

DOI 10.1017/s095026881000316x

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Abstract

SUMMARY: Environmental poliovirus surveillance (ENV) means monitoring of poliovirus (PV) transmission in human populations by examining environmental specimens supposedly contaminated by human faeces. The rationale is based on the fact that PV-infected individuals, whether presenting with disease symptoms or not, shed large amounts of PV in the faeces for several weeks. As the morbidity:infection ratio of PV infection is very low, this fact contributes to the sensitivity of ENV which under optimal conditions can be better than that of the standard acute flaccid paralysis (AFP) surveillance. The World Health Organization has included ENV in the new Strategic Plan of the Global Polio Eradication Initiative for years 2010–2012 to be increasingly used in PV surveillance, supplementing AFP surveillance. In this paper we review the feasibility of using ENV to monitor wild PV and vaccine-derived PV circulation in human populations, based on global experiences in defined epidemiological situations.

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Authors: HOVI, T., SHULMAN, L. M., VAN DER AVOORT, H., DESHPANDE, J., ROIVAINEN, M., & DE GOURVILLE, E. M.
Affiliations: Finnish Institute for Health and Welfare (FI)
Sheba Medical Center (IL)
Corresponding author: HOVI, T.
ORCID: HOVI, T.
SHULMAN, L. M.
DESHPANDE, J.
ROIVAINEN, M.
Venue: Epidemiology and Infection
Publisher: Cambridge University Press (CUP)
Published: 2011-08-18
Volume: 140
Issue: 1
Pages: 1-13
ISSN: 0950-2688 (ISSN-L)
1469-4409
DOI: 10.1017/s095026881000316x
OpenAlex: W2115478866
Cited by: 318
References: 43
Citations by year: 2026: 28 · 2025: 22 · 2024: 29 · 2023: 34 · 2022: 32 · 2021: 29 · 2020: 29 · 2019: 14 · 2018: 11 · 2017: 13 · 2016: 14 · 2015: 15 · 2014: 26 · 2013: 14 · 2012: 8
FWCI: 2.57
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.cambridge.org/core/terms (unspecified)
Locations: Epidemiology and Infection (publishedVersion)
PubMed (publishedVersion)
reroDoc Digital Library (submittedVersion)
Rivm Repository (Netherlands National Institute for Public Health and the Environment) (submittedVersion)
STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion)
Funders: Terveyden ja hyvinvoinnin laitos
Rijksinstituut voor Volksgezondheid en Milieu
Topics: Health Sciences › Medicine › Infectious Diseases › Viral Infections and Immunology Research
Health Sciences › Medicine › Infectious Diseases › Viral gastroenteritis research and epidemiology
Social Sciences › Health › Vaccine Coverage and Hesitancy
Keywords: poliovirus, wild poliovirus, vaccine-derived poliovirus, acute flaccid paralysis surveillance, fecal contamination, surveillance sensitivity
MeSH terms: Environmental Monitoring, Humans, Poliomyelitis, Population Surveillance, Sewage, Global Health, Poliovirus, Poliovirus Vaccines, Disease Eradication, Epidemiological Monitoring

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Role of environmental poliovirus surveillance in global polio eradication and beyond

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