To the Editor: Poliomyelitis was a major health problem in theUnited States until the introduction of inactivated poliovirusvaccine and attenuated oral poliovirus vaccine (OPV) in 1955and 1961, respectively. Since 1963, trivalent OPV has been usedroutinely. Cases of vaccine-associated paralytic poliomyelitishave been described in recipients of this vaccine and contactswho were either immunodeficient or inadequately vaccinated1,2,3,4.We report a case of vaccine-associated paralytic poliomyelitis(the only 1 of 284 such cases reported to the Centers for DiseaseControl and Prevention [CDC] from 1961 through 1991) in an immunocompetentman who had received a three-dose . . . [Full Text of this Article]
Tulchinsky, T.H., Birkhead, G., Sutter, R. W., Cochi, S. L., Hadler, S. C., Mermel, L.
(1993). More on Vaccine-Associated Paralytic Poliomyelitis. NEJM
329: 1968-1969
[Full Text]