WHO is to change its polio programme in India to try to eradicate the disease

BMJ 2006; 333 doi: (Published 23 November 2006) Cite this as: BMJ 2006;333:1089
  1. Claire Frauenfelder
  1. 1BMJ

    The World Health Organization is to change its polio eradication programme in India, adding a monovalent oral vaccine to the existing regime, says a study published in Science last week. It is hoped that this addition will finally rid the country of the disease.

    The study's key finding was that poor sanitation and overcrowding produce an ideal environment for the virus in some regions in India (Science 2006;310:625-6). The poor health of impoverished children also limits the effectiveness of the trivalent vaccine that has been the mainstay of WHO's eradication programme in India, said Bruce Aylward, director of WHO's global polio eradication initiative.

    Data analysed in the report showed that the northeastern Indian states of Uttar Pradesh and Bihar are the problematic areas. The authors pointed out that these same areas were the last in Asia to see smallpox in …

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