The Biologic Principles of Poliovirus Eradication
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The biologic principles for the global eradication of poliomyelitis are as follows: Poliovirus causes acute, nonpersistent infections, virus is transmitted by infectious humans or their waste, survival of virus in the environment is finite, humans are the only reservoir, and immunization with polio vaccine interrupts virus transmission. These principles appear to be sound. The potential for prolonged virus excretion by immunocompromised patients requires further definition, although there is no epidemiologic evidence of a threat to eradication. Survival of poliovirus in the environment is highly variable, but viral inactivation is usually complete within months. Higher primates may be infected with poliovirus, but they are unlikely reservoirs in nature. The only poliovirus reservoir remaining after eradication will be laboratory stocks. Serious attention must be given to reducing this potential source of infection. Polio eradication through immunization is evidenced by the documented absence of poliomyelitis in an increasing number of countries and the progressive disappearance of poliovirus genotypes.
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The key biological requirements for poliovirus eradication are absence of a persistent carrier state, virus spread by person-to-person transmission, immunization interrupts virus transmission, absence of any nonhuman reservoir hosts for the virus, and finite virus survival time in the environment.
“The key biological requirements for poliovirus eradication are ( a ) absence of a persistent carrier state, ( b ) virus spread is by person-to-person transmission, ( c ) immunization interrupts virus transmission, ( d ) absence of any nonhuman reservoir hosts for the virus, and ( e ) finite virus survival time in the environment (42).”
From VACCINE-DERIVED POLIOVIRUSES AND THE ENDGAME STRATEGY FOR GLOBAL POLIO ERADICATION (2005) · cites this paper as [42]
When these principles were first explicitly detailed in 1997, few examples of immunodeficient long-term chronic excretors had been described, and in every known case excretion of vaccine-derived poliovirus had stopped.
“When these principles were first explicitly detailed in 1997 (42), few examples of immunodeficient long-term chronic excretors had been described, and in every known case excretion of vaccinederived poliovirus had stopped.”
From VACCINE-DERIVED POLIOVIRUSES AND THE ENDGAME STRATEGY FOR GLOBAL POLIO ERADICATION (2005) · cites this paper as [42]
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Cites
Mendelsohn, C. L., Wimmer, E., & Racaniello, V. R. (1989) · Cell · doi:10.1016/0092-8674(89)90690-9 · Cited by 1,116 · see citing works
Goodall, J. R. (1997) · Cited by 687 · see citing works
VIRAL AND RICKETTSIAL INFECTIONS OF MAN
Rivers, T. M. (1953) · The American Journal of the Medical Sciences · doi:10.1097/00000441-195309000-00012 · Cited by 511 · see citing works
Transgenic mice expressing a human poliovirus receptor: A new model for poliomyelitis
Ren, R., Costantini, F. D., Gorgacz, E. J., Lee, J. J., & Racaniello, V. R. (1990) · Cell · doi:10.1016/0092-8674(90)90168-e · Cited by 379 · see citing works
Tutin, C. E. G., & Fernandez, M. (1984) · American Journal of Primatology · doi:10.1002/ajp.1350060403 · Cited by 332 · see citing works
van Rooyen, C. E., & Rhodes, A. (1948) · Medical Entomology and Zoology · Cited by 330 · see citing works
Laboratory-associated infections: summary and analysis of 3921 cases.
Rm, P. (1976) · PubMed · Cited by 310 · see citing works
Transgenic mice susceptible to poliovirus.
Koike, S., Taya, C., Kurata, T., Abe, S., Ise, I., Yonekawa, H., & Nomoto, A. (1991) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.88.3.951 · Cited by 294 · see citing works
Vaccine-associated paralytic poliomyelitis. United States: 1973 through 1984
Nkowane, B. M. (1987) · JAMA · doi:10.1001/jama.257.10.1335 · Cited by 240 · see citing works
Paralytic poliomyelitis: Seasoned strategies, disappearing disease
Hull, H. F., Ward, N. A., Hull, B. P., Milstien, J. B., Hull, H. F., & de Quadros, C. (1994) · The Lancet · doi:10.1016/s0140-6736(94)92472-4 · Cited by 235 · see citing works
Black, F. L. (1975) · Science · doi:10.1126/science.163483 · Cited by 217 · see citing works
Receptor affinities as major determinants of enterovirus tissue tropisms in humans
Holland, J. J. (1961) · Virology · doi:10.1016/0042-6822(61)90363-4 · Cited by 210 · see citing works
Paul, J. R. (1971) · Cited by 198 · see citing works
Alexander, J. P., Gary, H. E., & Pallansch, M. A. (1997) · Journal of Infectious Diseases · doi:10.1093/infdis/175.supplement_1.s176 · Cited by 170 · see citing works
Poliomyelitis in Hypogammaglobulinemics
Wyatt, H. V. (1973) · The Journal of Infectious Diseases · doi:10.1093/infdis/128.6.802 · Cited by 169 · see citing works
Diseases of Laboratory Primates.
Ruch, T. C. (1959) · Medical Entomology and Zoology · Cited by 158 · see citing works
Molecular epidemiology of polioviruses
Kew, O. M., Mulders, M. N., Lipskaya, G. Y., da Silva, E. E., & Patlansch, M. A. (1995) · Seminars in Virology · doi:10.1016/s1044-5773(05)80017-4 · Cited by 157 · see citing works
Detection and Occurrence of Enteric Viruses in Shellfish: A Review
Gerba, C. P., & Goyal, S. M. (1978) · Journal of Food Protection · doi:10.4315/0362-028x-41.9.743 · Cited by 127 · see citing works
Vaccine-Associated Paralytic Poliomyelitis
Beausoleil, J. L., Nordgren, R. E., & Modlin, J. F. (1994) · Journal of Child Neurology · doi:10.1177/088307389400900324 · Cited by 107 · see citing works
Melnick, J. L., Gerba, C. P., & Wallis, C. (1978) · PubMed · Cited by 105 · see citing works
Tierney, J. T., Sullivan, R. L., & Larkin, E. P. (1977) · Applied and Environmental Microbiology · doi:10.1128/aem.33.1.109-113.1977 · Cited by 103 · see citing works
Mechanism of inactivation of enteric viruses in fresh water
Ward, R. L., Knowlton, D. R., & Winston, P. E. (1986) · Applied and Environmental Microbiology · doi:10.1128/aem.52.3.450-459.1986 · Cited by 102 · see citing works
Vaccine-associated poliomyelitis in a child with sex-linked agammaglobulinemia
Wright, P. F., Hatch, M. H., Kasselberg, A. G., et al. (1977) · The Journal of Pediatrics · doi:10.1016/s0022-3476(77)81309-7 · Cited by 100 · see citing works
The ecology of enteroviruses in natural waters
Melnick, J. L., Gerba, C. P., & Berg, G. (1980) · C R C Critical Reviews in Environmental Control · doi:10.1080/10643388009381677 · Cited by 98 · see citing works
II. POLIOMYELITIC VIRUS IN URBAN SEWAGE
Paul, J. R., Trask, J. D., & Gard, S. (1940) · The Journal of Experimental Medicine · doi:10.1084/jem.71.6.765 · Cited by 92 · see citing works
Sabin, A. B. (1955) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1955.tb42551.x · Cited by 91 · see citing works
Influenza: The last great plague
Tyrrell, D. A. J. (1977) · BMJ · doi:10.1136/bmj.1.6062.718-a · Cited by 91 · see citing works
Chronic enteric virus infection in two T‐cell immunodeficient children
Wood, D. J., David, T. J., Chrystie, I. L., et al. (1988) · Journal of Medical Virology · doi:10.1002/jmv.1890240410 · Cited by 90 · see citing works
Interrupting the transmission of wild polioviruses with vaccines: immunological considerations.
(1994) · Europe PMC (PubMed Central) · Cited by 70 · see citing works
BEHAVIOR OF CHIMPANZEE-AVIRULENT POLIOMYELITIS VIRUSES IN EXPERIMENTALLY INFECTED HUMAN VOLUNTEERS
Sabin, A. B. (1955) · The American Journal of the Medical Sciences · doi:10.1097/00000441-195507000-00001 · Cited by 69 · see citing works
Hara, M., Saito, Y., Komatsu, T., Kodama, H., Abo, W., Chiba, S., & Nakao, T. (1981) · Microbiology and Immunology · doi:10.1111/j.1348-0421.1981.tb00095.x · Cited by 56 · see citing works
Poliomyelitis Virus in Fly-Contaminated Food Collected at an Epidemic
Ward, R., Melnick, J. L., & Horstmann, D. M. (1945) · Science · doi:10.1126/science.101.2628.491 · Cited by 50 · see citing works
Thermal and water source effects upon the stability of enteroviruses in surface freshwaters
Hurst, C. J., Benton, W. H., & McClellan, K. A. (1989) · Canadian Journal of Microbiology · doi:10.1139/m89-073 · Cited by 48 · see citing works
Chang, T., Weinstein, L., & MacMahon, H. (1966) · PEDIATRICS · doi:10.1542/peds.37.4.630 · Cited by 43 · see citing works
PREVALENCE OF ANTIBODIES TO CERTAIN VIRUSES IN SERA OF FREE-LIVING RHESUS AND OF CAPTIVE MONKEYS.
Kv, S., & Ch, S. (1965) · PubMed · Cited by 38 · see citing works
Oral Poliovirus Vaccine: Statement
Burney, L. E. (1960) · Public Health Reports (1896-1970) · doi:10.2307/4590949 · Cited by 32 · see citing works
A SURVEY OF PRIMATE SERA FOR ANTIBODIES TO VIRUSES OF HUMAN AND SIMIAN ORIGIN1
KALTER, S. S., Ratner, J. J., Kalter, G. V., et al. (1967) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a120765 · Cited by 32 · see citing works
THE SURVIVAL OF POLIOMYELITIS AND COXSACKIE VIRUSES FOLLOWING THEIR INGESTION BY FLIES
Melnick, J. L., & Penner, L. R. (1952) · The Journal of Experimental Medicine · doi:10.1084/jem.96.3.255 · Cited by 30 · see citing works
Influence of aerobic microorganisms upon virus survival in soil
Hurst, C. J. (1988) · Canadian Journal of Microbiology · doi:10.1139/m88-117 · Cited by 28 · see citing works
Prevalence of enteric viruses among hospital patients with AIDS in Kinshasa, Zaire
Thea, D. M., Glass, R. I., Grohmann, G. S., et al. (1993) · Transactions of the Royal Society of Tropical Medicine and Hygiene · doi:10.1016/0035-9203(93)90119-b · Cited by 28 · see citing works
PARALYTIC POLIOMYELITIS IN LARGE LABORATORY PRIMATES1
Allmond, B. W., Froeschle, J. E., & Guilloud, N. B. (1967) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a120686 · Cited by 28 · see citing works
Mortality of Enteric Viruses in Marine and Other Waters
Akin, E. W., Hill, W. F., & Clarke, N. A. (1975) · Elsevier eBooks · doi:10.1016/b978-0-08-018302-2.50030-x · Cited by 26 · see citing works
THE SUSCEPTIBILITY OF INFANT RHESUS MONKEYS TO POLIOMYELITIS VIRUS ADMINISTERED BY MOUTH
Horstmann, D. M., Melnick, J. L., Ward, R., et al. (1947) · The Journal of Experimental Medicine · doi:10.1084/jem.86.4.309 · Cited by 21 · see citing works
The High Wax Content of Green Lint Cotton
Conrad, C. M. (1941) · Science · doi:10.1126/science.94.2431.113-a · Cited by 18 · see citing works
SEARCH FOR EXTRAHUMAN SOURCES OF POLIOMYELITIS VIRUS
Francis, T. (1948) · JAMA · doi:10.1001/jama.1948.02890340014005 · Cited by 17 · see citing works
Solid-Associated Viruses in a Polluted Estuary
Metcalf, T. G., Rao, V. C., & Melnick, J. L. (2015) · Monographs in virology · doi:10.1159/000409125 · Cited by 17 · see citing works
Prolonged survival of human poliomyelitis virus in experimentally infected river water.
RHODES, A. J., Clark, E. M., Knowles, D. S., et al. (1950) · PubMed · Cited by 16 · see citing works
Survival of indigenous enteric viruses during storage of waste water sludge samples
Hurst, C. J., & Goyke, T. (1986) · Canadian Journal of Microbiology · doi:10.1139/m86-120 · Cited by 13 · see citing works
Suleman, M. A., Johnson, B. J., Tarara, R. P., et al. (1984) · Transactions of the Royal Society of Tropical Medicine and Hygiene · doi:10.1016/0035-9203(84)90235-9 · Cited by 13 · see citing works
STUDIES OF THE FATE OF TYPE 1 POLIOVIRUSES IN FLIES
Guðnadóttir, M. (1961) · The Journal of Experimental Medicine · doi:10.1084/jem.113.1.159 · Cited by 11 · see citing works
Contact Transmission of Poliomyelitis Virus Among Monkeys.
Craig, D. E., & Francis, T. (1958) · Experimental Biology and Medicine · doi:10.3181/00379727-99-24339 · Cited by 10 · see citing works
Melnick, J. L., & von Magnus, H. (1948) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a119215 · Cited by 9 · see citing works
PLACE OF CONTACT AND RADIAL SPREAD OF EPIDEMIC POLIOMYELITIS
Casey, A. E. (1945) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.1945.02020150013002 · Cited by 8 · see citing works
Natural virus infection in green and cynomolgus monkeys.
YAMANE, Y. (1974) · PubMed · Cited by 4 · see citing works
Flagged first, then by citations
Research works printed but not linked: 21
- Melnick JL. Enteroviruses: polioviruses, coxsackie viruses, echoviruses, and newer enteroviruses. In: Fields BN, Knipe DM, Chanock RM, et aI, eds. Fields virology. 2nd ed. Vol I. New York: Raven Press, 1990: 549-605.
- Lennette EH. Problems in the viral diagnostic laboratory with respect to poliomyelitis. In: Poliomyelitis: papers and discussions presented at the Fourth International Poliomyelitis Conference. Philadelphia: JB Lippin- cott, 1958:377-86.
- MacCallum PO. Observations on the feeding of attenuated live poliovi- ruses (Sabin) to children with hypogammaglobulinemia. In: Proceedings of the IX European Symposium on Poliomyelitis, Stockholm, 1-4 Sep- tember 1963. Brussels: European Association of Poliomyelitis and Al- lied Diseases, 1964.
- Casey AE. Observations on a epidemic of poliomyelitis. Science 1942; 95:359-60.
- Gear JHS. Poliomyelitis. In: Proceedings of the Second International Polio- myelitis Conference. Philadelphia: JB Lippincott, 1951:343-52.
- Vaughn lM, Landry EF. Viruses in soils and ground waters. In: Berg G, ed. Viral pollution of the environment. Boca Raton, FL: CRe Press, 1983:163-210.
- Kling C, Olin G, Fahraeus J, et al. Sewage as a carrier and disseminator of poliomyelitis virus. I. Searching for poliomyelitis virus in Stockholm sewage. II. Studies on the conditions oflife ofpoliomyelitis virus outside the human organism. Acta Med Scand 1942; 112:217 -49; 250-63.
- Paul JR, Trask JD, Gard S. Poliomyelitis virus in urban sewage. J Exp Med 1940;71:765-77.
- Ward RL. Destruction of viruses in sludges by treatment processes. In: Berg G, ed. Viral pollution of the environment. Boca Raton, FL: CRC Press, 1983:95-114.
- Block JC. Viruses in environmental waters. In: Berg G, ed. Viral pollution ofthe environment. Boca Raton, FL: CRC Press, 1983: 117-45.
- Slade JS, Ford Bl Discharge to the environment of viruses in waste water, sludges, and aerosols. In: Berg G, ed. Viral pollution ofthe environment. Boca Raton, FL: CRC Press, 1983:3-15.
- Sabin AB, Fieldsteel AH. Nature of spontaneously occurring neutralizing substances for 3 types of poliomyelitis virus in bovine sera. In: VI International Congress of Microbiology. Copenhagen: International As- sociation of Microbiological Scientists, 1953; 2:560-1.
- Howe HA, Bodian D. Poliomyelitis in the chimpanzee. Bull Hopkins Hosp 1941; 69:149-81.
- Sabin AB. Oral poliovirus vaccine. JAMA 1965; 194:872-6.
- Nathanson N. Epidemiology. In: Fields BN, Knipe DM, Chanock, RM, et al. eds. Virology. 2nd ed. Vol 1. New York: Raven Press, 1990:267- 92.
- Black FL. Infectious diseases in primitive societies. Science 1975; 187: 515-8.
- World Health Organization. Maintenance and distribution of transgenic mice susceptible to human viruses: memorandum from a WHO meeting. Bull WHO 1993;71:497-502.
- Sabin AB, Ward RL. Poliomyelitis in a laboratory worker exposed to the virus. Science 1941;94:113-4.
- Wenner HA, Paul JR. Fatal infection with poliomyelitis virus in a labora- tory technician. Am J Med Sci 1947;213:9-18.
- Patriarca PA, Wright PF, John rr. Factors affecting the immunogenicity of oral polio vaccines in developing countries: a review. Rev Infect Dis 1991; 13:926-39.
- Mulders MN, van Loon AM, van der Avoort HGAM, et al. Molecular characterization of the wild poliovirus type 3 epidemic in the Nether- lands. J Clin MicrobioI1992-93;33:3252-6.
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- Authors
- Dowdle, W. R., & Birmingham, M. E.
- Corresponding author
- Dowdle, W. R.
- Venue
- Journal of Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 1997-02-01
- Volume
- 175
- Issue
- Supplement 1
- Pages
- S286-S292
- ISSN
- 0022-1899 (ISSN-L)
- 1537-6613
- PMC
- PMC7110371
- OpenAlex
- W2002585627
- Cited by
- 99
- References
- 54
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 4 · 2022: 2 · 2021: 3 · 2020: 4 · 2019: 2 · 2018: 7 · 2017: 5 · 2016: 5 · 2015: 5 · 2014: 7 · 2013: 2 · 2012: 1
- FWCI
- 1.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Journal of Infectious Diseases (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Viral Infections and Immunology Research
- Health Sciences › Medicine › Epidemiology › Virology and Viral Diseases
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Keywords
- polio eradication, poliomyelitis, poliovirus transmission, human reservoir, virus inactivation, immunocompromised patients, higher primates
- MeSH terms
- Animals, Disease Reservoirs, Humans, Poliomyelitis, Poliovirus Vaccine, Oral, Global Health, Poliovirus
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