OBJECTIVES: This study evaluated the impact of international coordination on polio eradication in Southeast Asia. METHODS: Active surveillance systems for acute flaccid paralysis were assessed. Analyses focused on surveillance proficiency and polio incidence. RESULTS: Ten countries coordinated activities. Importations occurred and were rapidly contained in China and Myanmar. Countries that have been free of indigenous polio transmission for at least 3 years include Sri Lanka, Indonesia, Myanmar, and Thailand. In the remaining endemic countries--India, Nepal, and Bangladesh--poliovirus transmission has been substantially reduced; however, these countries still harbor the world's largest polio reservoir. CONCLUSIONS: Unprecedented international coordination in Southeast Asia resulted in dramatic progress in polio eradication and serves as a paradigm for control of other infectious diseases such as malaria and tuberculosis.
OBJECTIVES: This study evaluated the impact of international coordination on polio eradication in Southeast Asia. METHODS: Active surveillance systems for acute flaccid paralysis were assessed. Analyses focused on surveillance proficiency and polio incidence. RESULTS: Ten countries coordinated activities. Importations occurred and were rapidly contained in China and Myanmar. Countries that have been free of indigenous polio transmission for at least 3 years include Sri Lanka, Indonesia, Myanmar, and Thailand. In the remaining endemic countries--India, Nepal, and Bangladesh--poliovirus transmission has been substantially reduced; however, these countries still harbor the world's largest polio reservoir. CONCLUSIONS: Unprecedented international coordination in Southeast Asia resulted in dramatic progress in polio eradication and serves as a paradigm for control of other infectious diseases such as malaria and tuberculosis.
Authors: K a Wang; L B Zhang; M W Otten; X L Zhang; C Yasuo; R Z Zhang; T Xu; X Liu; M Liu; Q L Li; J J Yu; Z Wang Journal: J Infect Dis Date: 1997-02 Impact factor: 5.226
Authors: R J Kim-Farley; K J Bart; L B Schonberger; W A Orenstein; B M Nkowane; A R Hinman; O M Kew; M H Hatch; J E Kaplan Journal: Lancet Date: 1984-12-08 Impact factor: 79.321
Authors: P M Oostvogel; J K van Wijngaarden; H G van der Avoort; M N Mulders; M A Conyn-van Spaendonck; H C Rümke; G van Steenis; A M van Loon Journal: Lancet Date: 1994-09-03 Impact factor: 79.321
Authors: Kimberly M Thompson; Radboud J Duintjer Tebbens; Mark A Pallansch; Olen M Kew; Roland W Sutter; R Bruce Aylward; Margaret Watkins; Howard E Gary; James Alexander; Hamid Jafari; Stephen L Cochi Journal: Am J Public Health Date: 2008-05-29 Impact factor: 9.308