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Vaccine-Derived Poliovirus: Challenges and Solutions – Vaccine Studies

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id="primary"> <main class="site-main" id="main"> <article id="post-70" class="post-70 post type-post status-publish format-standard has-post-thumbnail hentry category-poliovirus tag-childhood-vaccines tag-health-systems tag-hygiene tag-immunizations tag-paralysis tag-physicals tag-polio-vaccine tag-poliovirus tag-vaccine-derivative-poliovirus tag-vaccine-derived-poliovirus tag-vdpvs" itemtype="https://schema.org/CreativeWork" itemscope> <div class="inside-article"> <div class="featured-image page-header-image-single "> <img width="1200" height="628" src="https://vaccine-studies.com/archive/wp-content/uploads/2024/09/image-_27_-min-scaled-e1727169383730.jpg" class="attachment-full size-full" alt="" itemprop="image" decoding="async" fetchpriority="high" /> </div> <header class="entry-header"> <h1 class="entry-title" itemprop="headline">Vaccine-Derived Poliovirus: Challenges and Solutions</h1> <div class="entry-meta"> <span class="posted-on"><time class="entry-date published" datetime="2024-09-24T14:46:29+05:30" itemprop="datePublished">September 24, 2024</time></span> <span class="byline">by <span class="author vcard" itemprop="author" itemtype="https://schema.org/Person" itemscope><a class="url fn n" href="https://vaccine-studies.com/archive/author/vaccine-studies/" title="View all posts by vaccine-studies" rel="author" itemprop="url"><span class="author-name" itemprop="name">vaccine-studies</span></a></span></span> </div> </header> <div class="entry-content" itemprop="text"> <h3><b>Introduction</b></h3> <p><span style="font-weight: 400;">Polio is a crippling and potentially fatal infectious disease that has been on the research agenda to eradicate for many years. Due to vigorous efforts in immunization, the incidence of WPV has reduced drastically all over the world. However, as WPV recedes, another form of the virus has emerged as a significant challenge: The type of poliovirus that may emerge from such post-vaccination acute flaccid paralysis (AFP) cases and has been also acknowledged globally is the vaccine-derived poliovirus (VDPV). VDPVs result from the emergence of a new strain of poliovirus in the oral polio vaccine that is weakened but has become neurovirulent again. This is a new phenomenon to public health officials, as the tool given to eliminate polio can under certain circumstances provoke an outbreak. This article provides an analysis of VDPVs, the causes of their occurrence, and the complex measures that are being taken to deal with them.</span></p> <h3><b>Understanding Vaccine-Derived Poliovirus (VDPV)</b></h3> <p><span style="font-weight: 400;">VDPVs develop from the oral polio vaccine, which has a live but weakened virus that for a long time has been administered orally. OPV is prepared from a weakened strain of the poliovirus; during vaccination, the virus multiplies in his intestines for a few days as it gives immunity to the child. At this stage, the virus also comes out in feces, causing a spread in areas with poor hygiene standards. In low immunization coverage communities, the excreted vaccine virus will go around the community, infecting the susceptible population. This virus, surprisingly, can mutate its genes within many cycles of infection to become a form that paralyzes people just like the wild poliovirus. These reverted strains are a type of circulating vaccine-derived poliovirus (cVDPV).</span></p> <h3><b>Factors Contributing to VDPV Emergence</b></h3> <p><span style="font-weight: 400;">Several factors contribute to the emergence and spread of VDPVs:</span></p> <p><span style="font-weight: 400;">Several factors contribute to the emergence and spread of VDPVs: Several factors contribute to the emergence and spread of VDPVs:</span></p> <p><span style="font-weight: 400;"><strong>Low Immunization Coverage:</strong> The major attributable risk factors include the following: Low coverage of immunization. Low vaccination levels permit the circulation of the vaccine virus for a longer period, and therefore, the chances of reversion to the original form are improved.</span></p> <p><span style="font-weight: 400;"><strong>Sanitation and Hygiene:</strong> Their next administration is oral, and the flu inevitably spreads via the fecal-oral route due to poor sanitation and hygiene.</span></p> <p><span style="font-weight: 400;"><strong>Mutation and Recombination:</strong> The process whereby new genes are developed in the vaccine virus is due to mutations as they continue to transfer from one individual to the other. Collectively, these changes may lead to the emergence of a virus that is fully capable of provoking an illness.</span></p> <p><span style="font-weight: 400;"><strong>Immunocompromised Individuals:</strong> Immunocompromised patients are capable of shedding the virus for a long time due to the prolonged replication of the virus, thus increasing the rates of mutations.</span></p> <p></div></div> <div style="background: #f7f7f7;border: 1px solid rgba(0, 0, 0, 0.07);"> <div style="padding: 30px;"><div class="Adblock-main"> <div class="Adblock-head"> <h2>Yearwise Publication Trend on <b>“<a href="https://vaccine-studies.com/publication-trends/index/poliovirus" target="_blank" title="poliovirus - yearwise publication trends">poliovirus</a>”</b></h2> </div> </div><div class="results-container"><div class="chart-block" style="padding:15px;"> <div class="left"> <div id="results" class="results"></div> </div> <div class="right"> <div class="chart-container"><canvas id="publicationChart"></canvas></div> </div> <div class="keywordsdiv"> <div style="text-align:center;"><b>Find publication trends on relevant topics</b> </div> <span class="gp-icon icon-tags"><svg viewBox="0 0 512 512" aria-hidden="true" xmlns="http://www.w3.org/2000/svg" width="1em" height="1em"><path d="M20 39.5c-8.836 0-16 7.163-16 16v176c0 4.243 1.686 8.313 4.687 11.314l224 224c6.248 6.248 16.378 6.248 22.626 0l176-176c6.244-6.244 6.25-16.364.013-22.615l-223.5-224A15.999 15.999 0 00196.5 39.5H20zm56 96c0-13.255 10.745-24 24-24s24 10.745 24 24-10.745 24-24 24-24-10.745-24-24z"></path><path d="M259.515 43.015c4.686-4.687 12.284-4.687 16.97 0l228 228c4.686 4.686 4.686 12.284 0 16.97l-180 180c-4.686 4.687-12.284 4.687-16.97 0-4.686-4.686-4.686-12.284 0-16.97L479.029 279.5 259.515 59.985c-4.686-4.686-4.686-12.284 0-16.97z"></path></svg></span> <span id="keyword-stats"></span> </div> </div></div></div><div class="inside-article"><style> table { margin: 0 0 1.5em; 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if (!statistics || Object.keys(statistics).length === 0) { resultsContainer.innerHTML = '<p>No data found.</p>'; return; } var tableHTML = `<div class='pub-scroll'> <table class='tablediv' border='1' cellspacing='0' cellpadding='0'> <tr> <th>Year</th> <th>Publication Count</th> </tr>`; Object.entries(statistics).sort(([yearA], [yearB]) => yearB - yearA).forEach(([year, count]) => { const displayCount = count === 0 ? 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For instance, the latest news covers peaceful outbreaks in some Asian countries like Afghanistan, Pakistan, and some African countries. However, these regions fail to achieve high immunization coverage and also have problems with sanitation and healthcare infrastructure. The circulation of VDPVs in these areas compromises the gains of polio eradication across the world.</span></p> <h4><b>Strategies to Combat VDPVs</b></h4> <p><span style="font-weight: 400;">Addressing the challenges posed by VDPVs requires a multifaceted approach. Addressing the challenges posed by VDPVs requires a multifaceted approach:</span></p> <p><span style="font-weight: 400;"><strong>Improving Immunization Coverage:</strong> Special emphasis should be placed on compliance with its full schedule in every child selected; polio would be easier to combat if it infected only one child in a thousand. The population with high rates of immunization is protected. from both WPV and VDPV. This comprises seasonal immunization, SIA, and special targeted campaigns in high-risk zones.</span></p> <p><span style="font-weight: 400;"><strong>Switching to Inactivated Polio Vaccine (IPV):</strong> The Global Polio Eradication Initiative (GPEI) has advised the shift from OPV to the inactivated polio vaccine (IPV); the vaccine contains a bit of ‘dead’ virus that cannot foster the disease. This switch also minimizes the probability of the emergence of VDPV. Currently, numerous countries have included IPV in the immunization programs.</span></p> <p><span style="font-weight: 400;"><strong>Enhanced Surveillance:</strong> VDPV spreads are easier to track compared to other poliomyelitis varieties; however, it is crucial to identify and mitigate them as soon as possible. This entails enhancing AFP surveillance to look for any AFP cases and environmental surveillance in looking for poliovirus in sewage. These concepts can prevent the spread of disease, and if an outbreak occurs, rapid response teams can be used to stop the spread of the disease.</span></p> <p><span style="font-weight: 400;"><strong>Development of Novel OPV:</strong> Researchers are also accustomed to using the oral polio vaccine; a newer version, nOPV2, has been created and is genetically more stable compared to OPV. This vaccine is designed to lessen the possibility of reverting to a virile strain while passing the advantages of oral immunization.</span></p> <p><span style="font-weight: 400;"><strong>Strengthening Health Systems:</strong> Strengthening resilient health systems is a key component of both polio eradication as well as overall health system strengthening. This entails raising awareness among healthcare practitioners, enhancing the facilities, and having reliable, steady, and adequate sources of vaccines.</span></p> <p></div></div> <div style="background: #f7f7f7;border: 1px solid rgba(0, 0, 0, 0.07);"> <div style="padding: 30px;"><div class="Adblock-main"> <div class="Adblock-head"> <h2>Recent Publications on <b>“<a href="https://vaccine-studies.com/recent-publications/index/poliovirus" target="_blank" rel="noopener" title="poliovirus - yearwise publication list">poliovirus</a>”</b></h2> </div> </div> <div class="pb-main"><div class="article-scroll"><div id="results_recent" class="results"></div></div><div class="keywordsdiv" style="margin: 0px 15px;margin-top:20px;"> <div style="text-align:center;"><b>Find publications on relevant topics</b> </div> <span class="gp-icon icon-tags"><svg viewBox="0 0 512 512" aria-hidden="true" xmlns="http://www.w3.org/2000/svg" width="1em" height="1em"><path d="M20 39.5c-8.836 0-16 7.163-16 16v176c0 4.243 1.686 8.313 4.687 11.314l224 224c6.248 6.248 16.378 6.248 22.626 0l176-176c6.244-6.244 6.25-16.364.013-22.615l-223.5-224A15.999 15.999 0 00196.5 39.5H20zm56 96c0-13.255 10.745-24 24-24s24 10.745 24 24-10.745 24-24 24-24-10.745-24-24z"></path><path d="M259.515 43.015c4.686-4.687 12.284-4.687 16.97 0l228 228c4.686 4.686 4.686 12.284 0 16.97l-180 180c-4.686 4.687-12.284 4.687-16.97 0-4.686-4.686-4.686-12.284 0-16.97L479.029 279.5 259.515 59.985c-4.686-4.686-4.686-12.284 0-16.97z"></path></svg></span> <span id="keyword-papers"></span> </div></div></div><div class="inside-article"> <style> .pb-main{ border: solid 1px #ccc; 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var keywordsArray = ["Vaccine-Derived Poliovirus","Polio Eradication","Oral Polio Vaccine","Immunization Coverage","Surveillance","Inactivated Polio Vaccine","Novel Oral Polio Vaccine","Public Health"]; displayResults_recent(recent_papers); displayKeywordPapers(keywordsArray); // function stripslashes(str) { // if (typeof str === 'string') { // return str.replace(/\/g, ''); // } // } </script></p> <h3><b>Case Studies and Regional Responses</b></h3> <p><span style="font-weight: 400;"><strong>Afghanistan and Pakistan:</strong> These countries are the only ones still considered endemic for the wild poliovirus type and have experienced at least VDPV1 epidemics. Measures that are taken to reduce polio in these areas include the provision of immunization to children, a process that entails difficulties because of political turmoil and strife in many African countries. For such endeavors to bear fruit, it is crucial to have the support of local health authorities, backed up by the international community.</span></p> <p><span style="font-weight: 400;"><strong>Africa:</strong> Some of the African countries have reported outbreaks of cVDPV. In response, there have been collaborative approaches to upturn immunization and the incorporation of nOPV2 in outbreak response strategies. There have also been enhancements of surveillance in the African region that enable early identification of poliovirus and quick response.</span></p> <h3><b>Challenges in Implementation</b></h3> <p><span style="font-weight: 400;">Of course, some difficulties appear when the mentioned strategies are being practiced. High levels of immunization, however, in hard-to-reach places such as remote areas and conflict-prone areas require going through various challenges as far as access is concerned as well as trust. Another challenge is vaccine hesitancy, which is found in people’s reluctance to adhere to vaccination programs out of perceived fear or adherence to cultural norms. Moreover, due to financial and resource limitations, many of the lower-income countries are likely to experience a dilemma in procuring new vaccines and technologies.</span></p> <h3><b>The Future of Polio Eradication</b></h3> <p><span style="font-weight: 400;">The polio fight is at a tipping point. Even though the global transmission of wild poliovirus is on the verge of being interrupted, the occurrence of VDPVs is another complex situation. Maintenance of such commitment, advancement of development of subsequent generations of vaccines, as well as further reinforcement of health systems, are believed to be major to tackling these challenges. </span><span style="font-weight: 400;">The issues that have been highlighted in the fight against polio will also be very useful in the fight against other infectious diseases, hence enhancing world health.</span></p> <h3><b>Conclusion</b></h3> <p><span style="font-weight: 400;">VDPVs demonstrate the factors involved in the process of elimination of a disease uniquely focused on at the worldwide level. Hence, the researchers point out that the measures should be more encompassing and dynamic, which focus not only on the biomedical aspect of the virus but also on the social, economic, and physical structures. </span><span style="font-weight: 400;">Vaccination, changing over to safer vaccines, and efforts in improving the methods of surveillance and analysis for polio have brought into focus VDPVs, about which the world community can substantially reduce the risks for the close arrival of a polio-free world.</span></p> <p></p> <h4><b>References</b></h4> <ol> <li> <div class="citation-text">Stehling-Ariza T, Wilkinson AL, Diop OM, Jorba J, Asghar H, Avagnan T, Grabovac V, Johnson T, Joshi S, Kfutwah AKW, Sangal L, Sharif S, Wahdan A, Tallis GF, Kovacs SD. <a href="https://pubmed.ncbi.nlm.nih.gov/37289657/">Surveillance To Track Progress Toward Poliomyelitis Eradication &#8211; Worldwide, 2021-2022.</a> MMWR Morb Mortal Wkly Rep. 2023 Jun 9;72(23):613-620. doi: 10.15585/mmwr.mm7223a1. PMID: 37289657; PMCID: PMC10328463.</div> </li> <li>Sadigh, K.S., 2022. <a href="https://www.cdc.gov/mmwr/volumes/71/wr/mm7103a3.htm">Progress toward poliomyelitis eradication―Afghanistan, january 2020–november 2021.</a> <i>MMWR. Morbidity and Mortality Weekly Report</i>, <i>71</i>.</li> <li>Alleman, M.M., 2021. <a href="https://www.cdc.gov/mmwr/volumes/70/wr/mm7049a1.htm">Update on vaccine-derived poliovirus outbreaks—worldwide, January 2020–June 2021.</a> <i>MMWR. Morbidity and mortality weekly report</i>, <i>70</i>.</li> <li>Bigouette, J.P., 2021. <a href="https://www.cdc.gov/mmwr/volumes/70/wr/mm7034a1.htm?s%E2%80%94cid=mm7034a1%E2%80%94w">Progress toward polio eradication—worldwide, January 2019–June 2021.</a> <i>MMWR. Morbidity and mortality weekly report</i>, <i>70</i>.</li> <li>Chard, A.N., 2020. <a href="https://www.cdc.gov/mmwr/volumes/69/wr/mm6925a4.htm">Progress toward polio eradication—worldwide, January 2018–March 2020.</a> <i>MMWR. 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Meschke", "citation_count": 2802, "hindex": 30, "paper_count": 108, "affiliation": "Department of Environmental and Occupational Health Sciences, University of Washington School of Public Health, 1959 NE Pacific Street, Seattle, Washington 98195, USA E-mail: ", "email": "meaganja@uw.edu", "slug_tail": "j-meschke" } }; //console.log(authors_data); displayResults_author(authors_data); var keywordsArray = ["Vaccine-Derived Poliovirus","Polio Eradication","Oral Polio Vaccine","Immunization Coverage","Surveillance","Inactivated Polio Vaccine","Novel Oral Polio Vaccine","Public Health"]; displayKeywordAuthors(keywordsArray); </script></p> </div> <footer class="entry-meta" aria-label="Entry meta"> <span class="cat-links"><span class="gp-icon icon-categories"><svg viewBox="0 0 512 512" aria-hidden="true" xmlns="http://www.w3.org/2000/svg" width="1em" height="1em"><path d="M0 112c0-26.51 21.49-48 48-48h110.014a48 48 0 0143.592 27.907l12.349 26.791A16 16 0 00228.486 128H464c26.51 0 48 21.49 48 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