Polio

2022 - 6 - 22

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Image courtesy of "Forbes"

Polio Spread Detected In London Sewage For First Time In Decades (Forbes)

The virus most likely originated from a person who was vaccinated with a live form of the virus overseas, according to the U.K.'s Health Security Agency, ...

Countries in Africa, the Middle East and parts of Asia, some of which had previously eradicated the disease, reported cases of vaccine-derived polio in the past year, and experts are working to update the live oral vaccine to reduce the risk of transmission. “The finding of vaccine-derived poliovirus in sewage proves the point.” “Although we are an island, we are not isolated from the rest of the world, which means diseases could be brought in from abroad,” Elliman said. The live oral polio vaccine is still used in some parts of the world, which uses a weakened, but living form of the virus. In the U.S., the Centers for Disease Control and Prevention has also been monitoring Covid-19 levels through wastewater during the pandemic. While polio was widely eradicated in many countries around the world due to a successful global vaccination drive, vaccine-derived polio is on the rise.

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Image courtesy of "The New York Times"

After Poliovirus Is Found in London, U.K. Declares Emergency (The New York Times)

No cases of polio have been identified so far, but health officials urged those who were not fully immunized to seek vaccines immediately.

The virus thrives in the gut and emerges in the feces of infected people. Until it is eradicated worldwide the risk of importation and spread in the U.K. and elsewhere will continue,” said Nicholas Grassly, a vaccine epidemiologist at Imperial College London. In up to 1 percent of patients, the virus can infect the spine and cause paralysis. British officials are now collecting additional samples and trying to identify the source of the virus. The last four samples collected appear to have evolved from this initial introduction, likely in unvaccinated children. Before the introduction of the polio vaccine, epidemics were common in Britain, with up to 8,000 cases of paralysis reported every year.

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Image courtesy of "CNBC"

National incident declared after UK health officials detect polio virus ... (CNBC)

U.K. health authorities have said they are urgently investigating a rare polio virus outbreak in sewage samples in London.

"In populations with low vaccine uptake it is possible that the live polio vaccine can spread from one person to another. It is common practice in the U.K. for children to receive an inactivated polio vaccine as part of their routine vaccination program; with three shots given before the age of one and another shot given at ages three and 14. Polio is a rare virus that can occasionally cause serious illness, such as paralysis, in people who are not fully vaccinated. On occasion, it can attack muscles used for breathing, which can be fatal. Generally, those who do become infected with polio display no symptoms, though some can develop a flu-like illness up to three weeks later. A number of waste samples from the Beckton sewage treatment works in Newham, east London tested positive for vaccine-derived polio virus between February and May, the U.K. Health Security Agency said Wednesday.

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Image courtesy of "World Health Organization"

Vaccine-derived poliovirus type 2 (VDPV2) detected in ... (World Health Organization)

News originally published on the Global Polio Eradication Initiative website. The Global Polio Laboratory Network (GPLN) has confirmed the isolation of type ...

It is important that all countries, in particular those with a high volume of travel and contact with polio-affected countries and areas, strengthen surveillance in order to rapidly detect any new virus importation and to facilitate a rapid response. Any form of poliovirus anywhere is a threat to children everywhere. It is important to note that the virus has been isolated from environmental samples only – no associated cases of paralysis have been detected.

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Image courtesy of "NPR"

Polio found in U.K. for the first time in nearly 40 years. Here's what it ... (NPR)

Scientists in Britain have detected multiple versions of the virus in wastewater. Officials say the risk to the public is extremely low and urge people to ...

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Image courtesy of "Globalnews.ca"

Polio found in London, U.K. sewage, but risk of mass infection ... (Globalnews.ca)

Polio has been detected in sewage samples in the British capital — the first sign since the 1980s that the virus could be spreading in the country, ...

UKHSA said it usually finds between one and three samples of poliovirus in sewage annually, but they have previously been one-offs. Polio, spread mainly through contamination by fecal matter, used to kill and paralyze thousands of children annually worldwide. The risk of infection from the disease, which causes paralysis in children in under one per cent of cases, was also low because of high vaccination rates, the UK Health Security Agency (UKHSA) said.

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Image courtesy of "ABC News"

Polio virus found in UK sewage samples; risk to public low (ABC News)

Health officials in Britain are warning parents to ensure their children have been vaccinated against polio after the virus that causes the disease was ...

The polio vaccine is given to young babies in the U.K. as part of a combination vaccine. That person would then have passed the virus to closely linked individuals in London, who shed the virus into their feces. The last case of natural polio infection acquired in the U.K. was in 1984. The U.K. Health Security Agency said it believes the virus was “vaccine-derived,” meaning it came from someone who received the live polio vaccine abroad. “Most of the U.K. population will be protected from vaccination in childhood, but in some communities with low vaccine coverage, individuals may remain at risk," said Dr. Vanessa Saliba, an epidemiologist at the health agency. LONDON -- Health officials in Britain warned parents Wednesday to ensure their children have been vaccinated against polio after the virus that causes the disease was found in London sewage samples in recent months.

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Image courtesy of "Axios"

Polio virus found in London sewage samples (Axios)

The last case of wild polio was contracted in 1984 and the UK has remained polio-free since 2003.

Why it matters: The discovery means it's likely there has been some spread of a "vaccine-derived" polio virus between close contacts in London, the agency said. What they're saying: "Vaccine-derived polio virus is rare and the risk to the public overall is extremely low," Vanessa Saliba, consultant epidemiologist at the health agency, said in a statement. - Polio virus samples will pop up after someone vaccinated with the oral polio vaccine shed traces of the "vaccine-like" polio virus in their excrement, the agency said. The concern: A "vaccine-derived" polio virus can cause serious illness, such as paralysis, in those who have not been fully vaccinated, the U.K. agency said. Driving the news: The health agency said it has found several "closely related viruses" to polio virus in sewage samples taken between February and May. The last case of wild polio in the U.K. was confirmed in 1984 and the country has remained polio-free since 2003.

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Image courtesy of "World Health Organization"

Polio transition: Integrating polio assets to strengthen health system ... (World Health Organization)

"A successful transition of polio assets is essential to sustain a polio-free world, strengthen essential immunization and disease surveillance, and boost the ...

The mission focused on ensuring that essential functions are maintained in Iraq as it transitions out of Global Polio Eradication Initiative (GPEI) support. The polio transition process has been designed to build the capacity of the polio workforce to support broader health priorities, including improving essential immunization, disease surveillance and outbreak preparedness and response, in primary health care centres and beyond. The team paid a visit to the Central Public Health Laboratory, the Communicable Disease Control Department and the Integrated Surveillance Department. The team also visited one of Baghdad's primary health care centres to witness first-hand the performance of immunization and other essential health services.

Polio virus found in UK sewage samples; risk to public low (Toronto Star)

LONDON (AP) — Health officials in Britain warned parents Wednesday to ensure their children have been vaccinated against polio after the virus that ca...

The polio vaccine is given to young babies in the U.K. as part of a combination vaccine. That person would then have passed the virus to closely linked individuals in London, who shed the virus into their feces. The last case of natural polio infection acquired in the U.K. was in 1984. “Most of the U.K. population will be protected from vaccination in childhood, but in some communities with low vaccine coverage, individuals may remain at risk,“ said Dr. Vanessa Saliba, an epidemiologist at the health agency. The U.K. Health Security Agency said it believes the virus was “vaccine-derived,” meaning it came from someone who received the live polio vaccine abroad. LONDON (AP) — Health officials in Britain warned parents Wednesday to ensure their children have been vaccinated against polio after the virus that causes the disease was found in London sewage samples in recent months.

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Image courtesy of "Bloomberg"

Polio Virus Found in London Sewage: Should the UK Worry? (Bloomberg)

The vaccine-derived poliovirus -- which originates from live attenuated polio viruses contained in oral polio vaccines -- still trigger outbreaks, most recently ...

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Image courtesy of "The Washington Post"

U.K. declares 'national incident' after polio virus traces found in ... (The Washington Post)

Traces of type 2 vaccine-derived poliovirus were detected during routine surveillance of sewage in London.

The National Health Service will begin reaching out to parents of children aged under 5 in the capital who are not up to date with their vaccinations, the government said. “In this instance, the isolates identified between February and June 2022 are genetically related. The U.K. health security agency says it normally detects between one and three “poliovirus isolates per year” in sewage but they are normally one-offs and unrelated to each other. Surveillance, vaccination and investment to— Tedros Adhanom Ghebreyesus (@DrTedros) #EndPolio🌍 is critical, as the #UK's announcement of environmental #poliosamples identified in London sewage reminds us. So far, the polio virus has only been detected in sewage samples but investigations are underway to establish if any community transmission is occurring. There is no cure, but vaccinations since the 1960s, mostly in childhood, have been a game changer allowing many countries to eradicate wild polio.

Immediate actions in response to detection of vaccine derived polio ... (GOV.UK)

A. Polio clinical and laboratory surveillance · B. Polio vaccination check and offer · Background and interpretation · Polio immunisation coverage.

The UK is committed to global polio eradication and key to achieving this is maintaining high vaccine coverage (>= 95%) in the routine childhood immunisation programme. It is essential to maintain high uptake at the national, regional and local levels in order to reduce the risk of importations (including of vaccine-like poliovirus) leading to transmission in under-vaccinated communities and paralytic presentations occurring. While the UK stopped using OPV in 2004, several countries, including Pakistan, Afghanistan and Nigeria have continued to use OPV containing type 2 virus for outbreak control. This has prompted the need to investigate the extent of transmission of this virus in Northeast London. UKHSA National Polio Guidelines outline public health actions for consideration when one or more vaccine-related poliovirus type 2 [Level 2 (C)] are detected in environmental samples. Vaccine-like type 2 poliovirus (PV2) isolates have been found in multiple sewage samples collected from the London Beckton Sewage Treatment Works between February and June 2022.

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Image courtesy of "BBC News"

Polio: What is it and how does it spread? (BBC News)

The UK used to use a highly effective oral polio vaccine that came as drops. It has switched to the newer, injectable form. The NHS offers five doses from the ...

However, this is the first time that a genetically-linked cluster has been found repeatedly over a period of months. But that means some is then excreted in poo. This causes paralysis - usually of the legs. A tiny number of samples of the polio virus are detected each year in the UK during sewage surveillance. The last person recorded to have acquired the wild virus in the UK was in 1984. UK health officials say they have detected the virus that causes polio in a concerning number of sewage samples in London.

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