TY - JOUR ID - 11718 TI - Alarm of Circulating Wild Poliovirus and Of Vaccine-Derived Poliovirus in Middle East Countries as a Potential Risk for Re-Emerging of Polio in Iran JO - International Journal of Pediatrics JA - IJP LA - en SN - 2345-5047 AU - Jenabi, Ensiyeh AU - Shirani, Fatemeh AU - Khazaei, Salman AD - Pediatric Developmental Disorders Research Center, Hamadan University of Medical Sciences, Hamadan, Iran. AD - Department of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran. AD - Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran. Y1 - 2019 PY - 2019 VL - 7 IS - 3 SP - 9071 EP - 9073 KW - Eradication KW - Iran KW - Polio KW - Re-emergence KW - Surveillance DO - 10.22038/ijp.2018.35530.3107 N2 -      Poliomyelitis is a highly infectious viral disease which is mainly transmitted via contaminated food and drinking water by human feces, especially in situations of poor hygiene and sanitation (1). This disease is caused by 3 types of wild poliovirus (WPV) (types 1, 2 and 3), and immunity against one type does not create immunity against other types. In our country according National Immunization Program (2), inoculation 6 doses of oral polio vaccine (OPV) induce immunity for long time against poliomyelitis. The polio eradication was a largest public health innovation is organized by the World Health Organization (WHO), and enhanced routine immunization, adequate response to outbreaks and effective surveillance are the main strategies to reach this goal (3).The last laboratory-confirmed wild polio case in Iran was reported in 1997. From 1998 to 2000, cases were imported from Pakistan/Afghanistan of wild virus circulation. The last case was an imported case from Afghanistan in December 2000 and the circulation of wild poliovirus was stopped in December 2000 and Iran is known as a polio free country from 2001 (4).According WHO report up to 2017, WPV transmission was disrupted in all countries except Afghanistan, Pakistan and Nigeria (5). Although the AFP surveillance in Iran reached to high level and gained the polio-free certification through active surveillance (6), but the role of neighboring countries which can interrupted our achievement should not be ignored. In the following we discuss a bout situation of wild WPV transmission in our neighboring countries. UR - https://ijp.mums.ac.ir/article_11718.html L1 - https://ijp.mums.ac.ir/article_11718_e534f563675073b4e1b8829596ddbf6b.pdf ER -