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Acute Flaccid Paralysis Surveillance In Bosnia And Herzegovina: Recent Isolation Of Two Sabin Like Type 2 Poliovirus

Stefano Fontana, Gabriele Buttinelli, Stefano Fiore, Mirsada Mulaomerović, Jela Aćimović, Concetta Amato, Roberto Delogu, Giovanni Rezza, Paola Stefanelli
Published 2017 · Medicine
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The WHO Regional Commission for the Certification of Poliomyelitis Eradication has recently indicated Bosnia and Herzegovina (B&H) as a high risk country for transmission, following importation, of wild poliovirus (WPV) or circulating vaccine-derived poliovirus (cVDPV). We analyzed data on Acute Flaccid Paralysis (AFP) surveillance between 2007 to 2016, and the trend of polio immunization coverage in B&H. The majority of AFP cases was recorded in 2016 suggesting an enhancement of the AFP surveillance activities. However, the decline in the immunization coverage, around 74%, and the isolation of two Sabin-like poliovirus type 2 strains, one of them close to a VDPV, require a particular attention in the area. Although B&H has successfully maintained its polio-free status since 2002 several challenges need to be addressed.
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