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Role of environmental poliovirus surveillance in global polio eradication and beyond
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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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“In all countries that use ES, both WPV and VDPV isolates are detected from environmental sewage sampling after concentration of so-called grabbed samples, using either the 2-phase method (in Pakistan, Egypt, and Nigeria) or the precipitation method (in India), and virus isolation on permissive cells [1].”
From Environmental surveillance for polioviruses in the Global Polio Eradication Initiative. (2014) · cites this paper as [1]
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Metadata
- 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.
- 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
- 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
- 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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