Advertisement

Abstract

The World Health (WHO) has implemented a plan to eradicate poliovirus that is widely viewed as having made enormous progress. If all goes as planned, polio will be eradicated on this planet by the year 2003. However, there is a debate, as highlighted in a pair of Policy Forums in this issue, over when vaccination against polio can be stopped. Dove and Racaniello believe that the reliance of the WHO on the live Sabin oral polio virus vaccine (OPV) means that there will be a continuing threat of release of potentially pathogenic virus into the environment. They are also concerned that the planned destruction of all wild-type polio stocks will not be possible. They recommend a switch to the inactivated polio vaccine. In response, Hull and Aylward set out the reasons for thinking that a switch from the OPV is not necessary and describe the studies being sponsored by the WHO to determine how and when immunization can safely be ended.
Get full access to this article

View all available purchase options and get full access to this article.

Already a Subscriber?

REFERENCES

1
A. S. Evans, Rev. Infect. Dis.6, s571 (1984).
2
D. Robinson, ibid., p. s586.
3
Hull H. F., et al., Lancet 343, 1331 (1994).
4
Weekly Epidemiol. Rec. 72 (1997), p. 189.
5
Dove A. W., Racaniello V. R., Science 277, 779 (1997).
6
Dowdle W., Birmingham M., J. Infect. Dis. 175, S286 (1997).
7
M. N. Mulders et al., ibid., in press.
8
Banerjee K., et al., Lancet 349, 1630 (1997).
9
Hull H. F., Science 275, 40 (1997).
10
Cockburn T. A., ibid. 133, 1050 (1961).
11
J. P. Fox et al., in Papers and Discussions Presented at the Fifth International Poliomyelitis Conference, (Lippencott, Philadelphia, PA, 1961), pp. 368–383.
12
Ochoa E. G., Lago P. M., J. Hyg. Epidemiol. Microbiol. Immunol. 31, 381 (1987).
13
Domok I., et al., Br. Med. J. i, 743 (1982).
14
Morb. Mortal. Wkly. Rep. 46 (1997), p. 641.
15
Kew O. M., et al., Semin. Virol. 6, 401 (1995).
16
J. W. Lee et al., in New Generation Vaccines, M. M. Levine et al., Eds. (Dekker, New York, ed. 2, 1997), pp. 79–88.

Information & Authors

Information

Published In

Science
Volume 277 | Issue 5327
8 August 1997

Submission history

Published in print: 8 August 1997

Permissions

Request permissions for this article.

Authors

Affiliations

Harry F. Hull
H. F. Hull and R. B. Aylward are with the Expanded Programme on Immunization, World Health Organization, 1211 Geneva 27, Switzerland.
R. Bruce Aylward
H. F. Hull and R. B. Aylward are with the Expanded Programme on Immunization, World Health Organization, 1211 Geneva 27, Switzerland.

Metrics & Citations

Metrics

Article Usage
Altmetrics

Citations

Export citation

Select the format you want to export the citation of this publication.

Cited by
  1. The Problems of Polio Eradication, Science, 304, 5679, (1903-1903), (2021)./doi/10.1126/science.304.5679.1903b
    Abstract
Loading...

View Options

Get Access

Log in to view the full text

AAAS ID LOGIN

AAAS login provides access to Science for AAAS Members, and access to other journals in the Science family to users who have purchased individual subscriptions.

Log in via OpenAthens.
Log in via Shibboleth.
More options

Purchase digital access to this article

Download and print this article for your personal scholarly, research, and educational use.

Purchase this issue in print

Buy a single issue of Science for just $15 USD.

View options

Media

Figures

Multimedia

Tables

Share

Share

Share article link

Share on social media