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Polio eradication in India: The way forward

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Abstract

Despite remarkable decline in the number of poliomyelitis cases, the dream of polio eradication in India remains elusive. This is despite considerable effort and expenditure for well over a decade. Various reasons have been cited for this and interventions implemented accordingly. None of these seem to have borne fruit. It is appropriate to have a relook at the polio eradication strategies in order to learn from past errors and determine a feasible solution to achieve the goal. This article examines important tissues that hamper the eradication effort and proposes a way forward.

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Abbreviations

AACPE:

Ad hoc Advisory Committee on Polio Eradication

AAGPE:

Adhoc Advisory Group on Polio Eradication

ACPE:

Advisory Committe on Polio Eradication

AFP:

Acute flaccid paralysis

cVDPV:

Circulating Vaccine derived poliovirus

DPTP:

Diphtheria-pertussis-tetaus-poliomyelitis (combination vaccine)

GMP:

Good manufacturing practices

IEAG:

India Expert Advisory Group

IPV:

Injectable polio vaccine

mOPV:

Monovalent OPV

NID:

National immunization Day(s)

NMEP:

National Malaria Eradication Programme

NPSP:

National Poliomyelitis Surveillance Project

OPV:

Oral polio vaccine

PE:

Polio eradication

P1:

Poliovirus strain 2

P2:

Poliovirus strain 2

P3:

Poliovirus strain 3

SIA:

Supplementary immunization activity

SNID:

Sub-national immunization day(s)

VAPP:

Vaccine Associated Paralytic Poliomyelitis

WHO:

World Health Organization

WPV:

Wild Polio virus

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Mittal, S.K., Mathew, J.L. Polio eradication in India: The way forward. Indian J Pediatr 74, 153–160 (2007). https://doi.org/10.1007/s12098-007-0009-y

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