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A ten-year experience in control of poliomyelitis through a combination of live and killed vaccines in two developing areas

Bibliographic Data

ID11025181
AuthorsTheodore H Tulchinsky (Israel Ministry of Health), T Tulchinsky, Y Abed (0000-0002-8613-2973), S Shaheen, Seif O Shaheen (0000-0002-7273-8691), N Toubassi, Yitzchak Sever, Michael Schoenbaum (0000-0002-7793-6734), Rachel Handsher
Year1989
Volume79
Issue12
Pages1648-1652
Publication date1989-12-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.79.12.1648
PMID2817193
OpenAlexW2093089631
LanguageEN
Citations received5
References cited13

We describe a successful program of poliomyelitis control using a combination of killed and live polio vaccines over a 10-year period in two developing areas, the West Bank and Gaza, adjacent to a relatively developed country, Israel. During the 1970s, immunization using live trivalent oral polio vaccine (OPV) in these areas covered more than 90 percent of the infant population. Nevertheless, the incidence of paralytic polio continued to be high, with many cases occurring in fully or partially immunized persons. It was thought that this could be due to interference with OPV take by other enteroviruses present in the environment due to poor sanitary conditions in these areas. A new policy combining five doses of OPV with two doses of inactivated polio vaccine (IPV) was adopted and implemented in 1978. In the 10 years since then, immunization coverage of infants increased to an estimated 95 percent and paralytic poliomyelitis has been controlled, despite exposure to wild poliovirus from neighboring countries including an outbreak in Israel in 1988. This experience suggests that wide coverage using the combination of IPV and OPV is an effective vaccination policy that may make eradication of polio possible even in developing areas

Antibody · Biology · Developing country · Environmental health · Immunization · Incidence (geometry) · Outbreak · Polio Vaccination · Poliomyelitis · Poliomyelitis eradication · Poliovirus · Population · Vaccination · Virus · Celiac Disease Research and Management · Immunology · Medicine · Viral gastroenteritis research and epidemiology · Viral Infections and Immunology Research · Virology · Pediatrics

  • Vaccination against poliomyelitis

    J L Melnick•American Journal of Public Health•1988

  • Blum et al. Respond

    Nava Blum, Ehud Katz et al.•American Journal of Public Health•2011

  • Professor Natan Goldblum and the Combined Vaccination Program in Gaza

    T H Tulchinsky, Ted Tulchinsky•American Journal of Public Health•2011

  • Gender differences in nutritional status and feeding patterns among infants in the Gaza Strip

    Michael Schoenbaum, T H Tulchinsky et al.•American Journal of Public Health•1995

  • Israel and Gaza

    Theodore H Tulchinsky, Aron M Troen et al.•American Journal of Public Health•2025

  • Live or inactivated poliomyelitis vaccine

    A R Hinman, Jeffrey P Koplan et al.•American Journal of Public Health•1988

  • Polio immunization policy in the United States

    Darrell Salk•American Journal of Public Health•1988

  • Vaccination against poliomyelitis

    J L Melnick•American Journal of Public Health•1988

  • Decision analysis and polio immunization policy

    A R Hinman, Jeffrey P Koplan et al.•American Journal of Public Health•1988

Citations per year0.13
Citation span1988 - 2025 (38)
Highly citedNo

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