Journal Article

The Eradication of Poliomyelitis in Egypt: Critical Factors Affecting Progress to Date

R. Bruce Aylward, Esmat Mansour, EI Said Aly Don, Ahmed Haridi, Abdulla Abu El Kheir and Atef Hassan

in The Journal of Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 175, issue Supplement_1, pages S56-S61
Published in print February 1997 | ISSN: 0022-1899
Published online February 1997 | e-ISSN: 1537-6613 | DOI: http://dx.doi.org/10.1093/infdis/175.Supplement_1.S56
The Eradication of Poliomyelitis in Egypt: Critical Factors Affecting Progress to Date

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Poliomyelitis eradication activities in Egypt were reviewed to identify the critical factors for the progress seen by 1995 and to highlight problems that could be avoided in other countries in which poliomyelitis is endemic. National immunization and surveillance data demonstrate that the combination of high routine immunization coverage (>85%) with oral polio vaccine combined with two properly conducted rounds of national immunization days (NIDs) resulted in a 75% reduction in reported polio cases between 1992 and 1993. Available data suggest that earlier control strategies, such as single-round NIDs in 1990 and 1991, the administration of inactivated poliovirus vaccine (IPV) at 2 months of age in 1992–1993, and the use of “mop-up” campaigns while wild poliovirus was still widespread, did not contribute substantially to the recent decline in cases. Proper implementation of the World Health Organization's recommended strategies can eliminate wild poliovirus circulation in the large, densely populated tropical countries in which poliomyelitis remains endemic.

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Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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