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Editorial
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Volume 332:529-530 February 23, 1995 Number 8
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Minimizing the Risks Associated with the Prevention of Poliomyelitis

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The global eradication of poliomyelitis has been targeted as a goal for the year 2000 by the World Health Organization,1 and naturally occurring poliomyelitis has already been eradicated from the Americas.2 Yet the occasional occurrence of paralytic poliomyelitis in association with the use of the trivalent oral poliovirus vaccine — either in vaccine recipients or in others who are in contact with recipients — remains a vexing problem. The basis for this rare breakthrough disease lies in the potential of the live attenuated virus in the vaccine to revert to increased virulence within the human gastrointestinal tract. Although such genetic . . . [Full Text of this Article]

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