The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.
Asymptomatic Wild‐Type Poliovirus Infection in India among Children with Previous Oral Poliovirus Vaccination
Abstract
BACKGROUND: Mucosal immunity induced by oral poliovirus vaccine (OPV) is imperfect and potentially allows immunized individuals to participate in asymptomatic wild-type poliovirus transmission in settings with efficient fecal-oral transmission of infection. METHODS: We examined the extent of asymptomatic wild-type poliovirus transmission in India by measuring the prevalence of virus in stool samples obtained from 14,005 healthy children who were in contact with 2761 individuals with suspected poliomyelitis reported during the period 2003-2008. RESULTS: Wild-type poliovirus serotypes 1 and 3 were isolated from the stool samples of 103 (0.74%) and 104 (0.74%) healthy contacts, respectively. Among contacts of individuals with laboratory-confirmed poliomyelitis, 27 (12.7%) of 213 and 29 (13.9%) of 209 had serotypes 1 and 3, respectively, isolated from their stool samples. The odds ratio of excreting serotype 1 wild-type poliovirus was 0.13 (95% confidence interval, 0.02-0.87) among healthy children reporting 6 doses of OPV, compared with children reporting 0-2 doses. However, two-thirds of healthy children who excreted this virus reported >or=6 doses, and the prevalence of this virus did not decrease with age over the sampled range. CONCLUSIONS: Although OPV is protective against infection with poliovirus, the majority of healthy contacts who excreted wild-type poliovirus were well vaccinated. This is consistent with a potential role for OPV-vaccinated children in continued wild-type poliovirus transmission and requires further study.
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Wild-type polioviruses have been identified in stool samples from OPV-immunized children.
“Recent evidence from India for waning intestinal immunity to poliovirus within a year of vaccination with OPV [38] and identification of wild-type polioviruses in stool samples from OPV immunized children [39] has generated interest in the potential for IPV to boost intestinal immunity among these children.”
From Systematic Review of Mucosal Immunity Induced by Oral and Inactivated Poliovirus Vaccines against Virus Shedding following Oral Poliovirus Challenge (2012) · cites this paper as [39]
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Metadata
- Authors
- Grassly, N. C., Jafari, H., Bahl, S., Durrani, S., Wenger, J., Sutter, R. W., & Bruce Aylward, R.
- Affiliations
- Imperial College London (GB)
- Government of India (IN)
- Venue
- The Journal of Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-05-15
- Volume
- 201
- Issue
- 10
- Pages
- 1535-1543
- ISSN
- 0022-1899 (ISSN-L)
- 1537-6613
- OpenAlex
- W2124976455
- Cited by
- 50
- References
- 27
- Citations by year
- 2026: 2 · 2024: 1 · 2023: 1 · 2020: 2 · 2019: 1 · 2018: 3 · 2017: 4 · 2016: 4 · 2015: 4 · 2014: 4 · 2013: 9 · 2012: 7
- FWCI
- 5.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Infectious Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Viral Infections and Immunology Research
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Health Sciences › Medicine › Epidemiology › Virology and Viral Diseases
- Keywords
- wild-type poliovirus, asymptomatic infection, oral polio vaccine, mucosal immunity, fecal-oral transmission, serotype 1, serotype 3, vaccination coverage, India
- MeSH terms
- Child, Preschool, Feces, Humans, India, Infant, Infant, Newborn, Poliomyelitis, Poliovirus Vaccine, Oral, Poliovirus
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