2006
DOI: 10.1126/science.1130388
|View full text |Cite
|
Sign up to set email alerts
|

New Strategies for the Elimination of Polio from India

Abstract: The feasibility of global polio eradication is being questioned as a result of continued transmission in a few localities that act as sources for outbreaks elsewhere. Perhaps the greatest challenge is in India, where transmission has persisted in Uttar Pradesh and Bihar despite high coverage with multiple doses of vaccine. We estimate key parameters governing the seasonal epidemics in these areas and show that high population density and poor sanitation cause persistence by not only facilitating transmission o… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
1
1
1
1

Citation Types

8
143
3
2

Year Published

2007
2007
2019
2019

Publication Types

Select...
8
1
1

Relationship

0
10

Authors

Journals

citations
Cited by 230 publications
(156 citation statements)
references
References 13 publications
8
143
3
2
Order By: Relevance
“…This emphasizes the potential dangers of extrapolating dynamics for these sorts of highly non-linear systems without a detailed understanding of local parameters. Interestingly, although poliovirus in India exhibits similarly strong seasonality, its longer infectious period leads to more regular annual dynamics than measles 41 .…”
Section: Discussionmentioning
confidence: 99%
“…This emphasizes the potential dangers of extrapolating dynamics for these sorts of highly non-linear systems without a detailed understanding of local parameters. Interestingly, although poliovirus in India exhibits similarly strong seasonality, its longer infectious period leads to more regular annual dynamics than measles 41 .…”
Section: Discussionmentioning
confidence: 99%
“…Human challenge studies offer a valuable extra arm to vaccine studies, but most are carried out on healthy western volunteers. Evidence from the recently introduced rotavirus vaccine, and also polio and cholera vaccine studies, demonstrates reduced vaccine‐effectiveness in major at‐risk populations in low–middle‐income countries 96, 97, 98. It is clear, therefore, that protective immunity must be examined and evaluated in multiple experimental settings that can each provide valuable information on both mechanisms of immune protection and real‐world effectiveness.…”
Section: Future Perspectivesmentioning
confidence: 99%
“…Ali et al (2002) showed that higher population density is associated with a greater risk of cholera in a rural part of Bangladesh. Grassly et al (2006Grassly et al ( :1151 described challenges to polio eradication in densely populated Uttar Pradesh and Bihar: "[H]igh population density and poor sanitation can lead to more frequent infectious contacts and increase levels of excreted polio-virus in the environment." 3 Brinkley (1997) and Coelho and McGuire (1997) discussed the influence of hookworm, spread by poor sanitation, on the population health and economic development of the American South.…”
Section: Background: Population Density Sanitation and Disease Extementioning
confidence: 99%