Polio Endgame -Global Switch from tOPV to bOPV: A Critical Step On Polio Eradication
Keywords:
Eradication, Immunization, Inactivate Polio Vaccine, Oral Polio Vaccine, Polio, Poliomyeilitis, SwitchAbstract
Globally polio cases have reached an all time low and type 2 poliovirus (one of three) is eradicated. Oral polio vaccine (OPV) has been the primary tool, however, in rare cases, OPV induces paralysis. In 2013 the world health assembly endorsed the phased withdrawal of OPV and introduction of inactivated poliovirus vaccine (IPV) into childhood routine immunization schedules. Type 2 OPV will be withdrawn through a globally synchronized “switch” from trivalent OPV (all three types) to bivalent OPV (types 1 & 3). The switch will happen in 155 OPV using countries between April 17 (th) and May 1(st) 2016. Planned activities to reduce type 2 outbreaks risks post-switch include the following: tOPV campaigns to increase type 2 immunity prior to the switch, monovalent OPV2stockpiling to respond to outbreaks should they occur, containment of both wild and vaccine type 2 viruses, enhanced acute flaccid paralysis (AFP) and environmental surveillance, outbreak response protocols and ensured access to IPV & bivalent OPV.
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