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• W4384383358 abstract "Guatemala implemented wastewater-based poliovirus surveillance in 2018, and three genetically unrelated vaccine-derived polioviruses (VDPVs) were detected in 2019. The Ministry of Health (MoH) response included event investigation through institutional and community retrospective case searches for acute flaccid paralysis (AFP) during 2018-2020 and a bivalent oral polio/measles, mumps, and rubella vaccination campaign in September 2019. This response was reviewed by an international expert team in July 2021. During the campaign, 93% of children 6 months <7 years of age received a polio-containing vaccine dose. No AFP cases were detected in the community search; institutional retrospective searches found 37% of unreported AFP cases in 2018‒2020. No additional VDPV was isolated from wastewater. No evidence of circulating VDPV was found; the 3 isolated VDPVs were classified as ambiguous VDPVs by the international team of experts. These detections highlight risk for poliomyelitis reemergence in countries with low polio vaccine coverage." @default.
• W4384383358 created "2023-07-15" @default.
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• W4384383358 date "2023-08-01" @default.
• W4384383358 modified "2023-09-27" @default.
• W4384383358 title "Response to Vaccine-Derived Polioviruses Detected through Environmental Surveillance, Guatemala, 2019" @default.
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• W4384383358 doi "https://doi.org/10.3201/eid2908.230236" @default.
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• W4384383358 hasPublicationYear "2023" @default.
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