AI Article Synopsis

  • The study analyzes the circulation of wild-type 1 poliovirus in Ghana from 1995 to 2008, particularly after a surveillance system was established for monitoring poliovirus cases.
  • Findings revealed that the prevalence and spread of the virus were significantly influenced by the effectiveness of global eradication efforts and the quality of vaccination campaigns.
  • While indigenous wild-type poliovirus transmission was eliminated by 1999, gaps in immunization led to importation of the virus in 2003 and 2008, but these outbreaks were controlled once vaccination efforts resumed, highlighting the potential for polio eradication in Central West Africa with proper strategies.

Article Abstract

Described in detail is the molecular epidemiology of wild-type 1 poliovirus circulation in Ghana between 1995-2008, following the implementation of a surveillance system for cases of acute flaccid paralysis and poliovirus infection. Molecular phylogenetic analysis combined with a detailed evaluation of epidemiological indicators revealed that the geographical and temporal circulation of wild-type poliovirus in Ghana was determined by the quality of the implementation of global eradication strategies. The transmission of "indigenous" wild-type 1 poliovirus was eliminated in 1999. However, a drastic reduction in national immunization campaigns resulted in the importation in 2003 and 2008 of wild-type 1 poliovirus from neighboring countries. Both outbreaks were promptly interrupted following resumption of immunization activities. The results detailed here provide scientific evidence that supports the feasibility of polio eradication in Central West Africa, one of the remaining endemic areas for the disease, provided that comprehensive immunization campaigns and sensitive surveillance systems are in place.

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http://dx.doi.org/10.1093/infdis/jis474DOI Listing

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