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Correspondence
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Volume 344:61-63 January 4, 2001 Number 1
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Polio Immunization

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To the Editor: Sutter et al. (Sept. 14 issue)1 support the use of oral poliovirus vaccine (OPV) plus inactivated-poliovirus vaccine (IPV) to enhance levels of immunity, especially against type 3 poliovirus. In an accompanying editorial, John2 supports an IPV-only program, in place of the program of IPV followed by OPV, in countries where wild poliovirus is still endemic.

During the 1970s, cases of poliomyelitis continued to occur in Israel, the West Bank, and Gaza, despite high coverage with four doses of OPV. In 1976, half of 77 cases in Gaza occurred in fully immunized children. In 1978, we adopted a . . . [Full Text of this Article]

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