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<p>I posted this in the "debate" forum because I'm hoping to get accurate info on the Syrian Polio outbreak. Last I read, there were 22 cases, but today I was told that 17 children have been paralyzed. That seems like a really high percentage considering the size of the outbreak. Does anyone have up-to-date info? I went to the WHO website, but it hasn't been recently updated. Thanks. </p>
 

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<p>The most recent update I've seen was from the end of November.</p>
<p> </p>
<p>Here is a link to the November report: <a href="http://www.promedmail.org/direct.php?id=20131128.2078961" target="_blank">http://www.promedmail.org/direct.php?id=20131128.2078961</a></p>
 

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<p><a href="http://www.polioeradication.org/Dataandmonitoring/Poliothisweek.aspx" target="_blank">http://www.polioeradication.org/Dataandmonitoring/Poliothisweek.aspx</a></p>
 

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<p>I don't know how accurate the reports are, that much paralysis sounds really high! It takes months or a year for the original symptoms and inflammation of Polio to calm and at least a year to know if a child will be paralyzed. (My dad had Polio in the 1940s, absolutely no paralysis, no iron lung, no lasting effects, but was in bed for around 6 months so our family is quite familiar with it.) Of course in the majority of cases, Polio presents as a really bad upper respiratory infection (it's how my dad's and everybody elses in the 1930s and 40s started)  and <em>never</em> goes beyond a respiratory infection so MANY cases go undiagnosed.</p>
<p> </p>
<p>Also, these camps are not clean, people are packed in together and human waste is flowing through the streets, AND SO they use <em>Oral Polio Vaccine</em> which is ALIVE and is <em>excreted in the stool for up to 6 months after vaccination!</em> Using LIVE polio vaccine will only INCREASE polio rates in the area because anyone who is exposed to the stool of children who are getting the vaccine a<em>re being exposed to LIVE POLIO. Why</em> would they do this? A ploy to "show how dangerous it is not to be vaccinated?" Sounds like the intentional exacerbation of events. Maybe, maybe the first few cases were wild Polio, but any Polio <em>seen after these kids get LIVE ORAL Polio</em> vaccine is caused by the people administering this stuff, thus iatrogenic.</p>
<p> </p>
<p>Frustrating as heck to use human lives for political gain. The <em>smart</em> thing to do would be to use the INJECTED Polio vaccine, which is a killed vaccine and cannot be transferred in stool or any other bodily fluid and cause more Polio.</p>
<p> </p>
<p>Info on % of cases result in permanent paralysis: about 1%. It's medically impossible to have 20 cases of Polio and 17 of them resulting in permanent paralysis.</p>
<p> </p>
<p><em>Poliovirus is an <a href="http://en.wikipedia.org/wiki/Enterovirus" target="_blank" title="Enterovirus">enterovirus</a>. Infection occurs via the <a href="http://en.wikipedia.org/wiki/Fecal%E2%80%93oral_route" target="_blank" title="Fecal–oral route">fecal–oral route</a>, meaning that one ingests the virus and viral replication occurs in the <a href="http://en.wikipedia.org/wiki/Alimentary_tract" target="_blank" title="Alimentary tract">alimentary tract</a>. Virus is shed in the feces of infected individuals. In 95% of cases only a primary, transient presence of <a href="http://en.wikipedia.org/wiki/Viremia" target="_blank" title="Viremia">viremia</a> (virus in the bloodstream) occurs, and the poliovirus infection is <a href="http://en.wikipedia.org/wiki/Asymptomatic" target="_blank" title="Asymptomatic">asymptomatic</a>. In about 5% of cases, the virus spreads and replicates in other sites such as <a href="http://en.wikipedia.org/wiki/Brown_fat" target="_blank" title="Brown fat">brown fat</a>, <a href="http://en.wikipedia.org/wiki/Reticuloendothelial" target="_blank" title="Reticuloendothelial">reticuloendothelial</a> tissue, and <a href="http://en.wikipedia.org/wiki/Muscle" target="_blank" title="Muscle">muscle</a>. The sustained viral replication causes secondary viremia and leads to the development of minor symptoms such as fever, headache and sore throat.<span style="color:#FF0000;"><strong>Paralytic poliomyelitis occurs in less than 1% of poliovirus infections</strong></span>. Paralytic disease occurs when the virus enters the <a href="http://en.wikipedia.org/wiki/Central_nervous_system" target="_blank" title="Central nervous system">central nervous system</a> (CNS) and replicates in <a href="http://en.wikipedia.org/wiki/Motor_neuron" target="_blank" title="Motor neuron">motor neurons</a> within the <a href="http://en.wikipedia.org/wiki/Spinal_cord" target="_blank" title="Spinal cord">spinal cord</a>, <a href="http://en.wikipedia.org/wiki/Brain_stem" target="_blank" title="Brain stem">brain stem</a>, or <a href="http://en.wikipedia.org/wiki/Motor_cortex" target="_blank" title="Motor cortex">motor cortex</a>, resulting in the selective destruction of motor neurons leading to temporary or permanent <a href="http://en.wikipedia.org/wiki/Paralysis" target="_blank" title="Paralysis">paralysis</a>. In rare cases, paralytic poliomyelitis leads to <a href="http://en.wikipedia.org/wiki/Respiratory_arrest" target="_blank" title="Respiratory arrest">respiratory arrest</a> and death.weakness and paralysis. Paralysis typically persists anywhere from days to weeks prior to recovery.</em> Reference:</p>
<ol><li id="user_cite_note-Bodian_1965-31">Bodian D and Horstmann DH (1969). <em>Polioviruse</em>. Philadelphia, Penn: Lippincott. pp. 430–73.</li>
<li id="user_cite_note-32"><strong><a href="http://en.wikipedia.org/wiki/Poliovirus#cite_ref-32" target="_blank">Jump up ^</a></strong> Sabin A (1956). "Pathogenesis of poliomyelitis; reappraisal in the light of new data". <em>Science</em> <strong>123</strong> (3209): 1151–7. <a href="http://en.wikipedia.org/wiki/Digital_object_identifier" target="_blank" title="Digital object identifier">doi</a>:<a href="http://dx.doi.org/10.1126%2Fscience.123.3209.1151" target="_blank">10.1126/science.123.3209.1151</a>. <a href="http://en.wikipedia.org/wiki/PubMed_Identifier" target="_blank" title="PubMed Identifier">PMID</a> <a href="http://www.ncbi.nlm.nih.gov/pubmed/13337331" target="_blank">13337331</a>.</li>
<li id="user_cite_note-33"><strong><a href="http://en.wikipedia.org/wiki/Poliovirus#cite_ref-33" target="_blank">Jump up ^</a></strong> <a href="http://emedicine.medscape.com/article/306440-overview" target="_blank">http://emedicine.medscape.com/article/306440-overview</a></li>
<li id="user_cite_note-34"><strong><a href="http://en.wikipedia.org/wiki/Poliovirus#cite_ref-34" target="_blank">Jump up ^</a></strong> <a href="http://emedicine.medscape.com/article/967950-overview" target="_blank">http://emedicine.medscape.com/article/967950-overview</a></li>
</ol>
 

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<p>Looking into this a little more.  Reports of acute flaccid paralysis are used as a surveillance tool to identify polio outbreaks, but there are other diseases/conditions that cause it as well.  It looks like there was an outbreak of AFP in Syria - 22 reported cases.  They tested the afflicted people and 17 of them were carriers of wild poliovirus type I.  Considering AFP is rare - 1% of polio cases, it seems like we can estimate that actual polio prevalence is higher.  <img alt=":(" src="http://files.mothering.com/images/smilies/greensad.gif" style=""> </p>
<p> </p>
<p>Does that make sense?  The numbers that we have are reporting paralysis, not polio.</p>
 

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<div class="quote-container" data-huddler-embed="/community/t/1394455/trying-to-get-accurate-info-on-syrian-polio-outbreak#post_17528539" data-huddler-embed-placeholder="false">Quote:
<div class="quote-block">Originally Posted by <strong>MaggieLC</strong> <a href="/community/t/1394455/trying-to-get-accurate-info-on-syrian-polio-outbreak#post_17528539"><img alt="View Post" src="/community/img/forum/go_quote.gif" style=""></a><br>
 
<p>I don't know how accurate the reports are, that much paralysis sounds really high! It takes months or a year for the original symptoms and inflammation of Polio to calm and at least a year to know if a child will be paralyzed. (My dad had Polio in the 1940s, absolutely no paralysis, no iron lung, no lasting effects, but was in bed for around 6 months so our family is quite familiar with it.) Of course in the majority of cases, Polio presents as a really bad upper respiratory infection (it's how my dad's and everybody elses in the 1930s and 40s started)  and <em>never</em> goes beyond a respiratory infection so MANY cases go undiagnosed.</p>
<p> </p>
<p>Also, these camps are not clean, people are packed in together and human waste is flowing through the streets, AND SO they use <em>Oral Polio Vaccine</em> which is ALIVE and is <em>excreted in the stool for up to 6 months after vaccination!</em> Using LIVE polio vaccine will only INCREASE polio rates in the area because anyone who is exposed to the stool of children who are getting the vaccine a<em>re being exposed to LIVE POLIO. Why</em> would they do this? A ploy to "show how dangerous it is not to be vaccinated?" Sounds like the intentional exacerbation of events. Maybe, maybe the first few cases were wild Polio, but any Polio <em>seen after these kids get LIVE ORAL Polio</em> vaccine is caused by the people administering this stuff, thus iatrogenic.</p>
<p> </p>
<p>Frustrating as heck to use human lives for political gain. The <em>smart</em> thing to do would be to use the INJECTED Polio vaccine, which is a killed vaccine and cannot be transferred in stool or any other bodily fluid and cause more Polio.</p>
<p> </p>
<p>Info on % of cases result in permanent paralysis: about 1%. It's medically impossible to have 20 cases of Polio and 17 of them resulting in permanent paralysis.</p>
<p> </p>
<p><em>Poliovirus is an <a href="http://en.wikipedia.org/wiki/Enterovirus" target="_blank" title="Enterovirus">enterovirus</a>. Infection occurs via the <a href="http://en.wikipedia.org/wiki/Fecal%E2%80%93oral_route" target="_blank" title="Fecal–oral route">fecal–oral route</a>, meaning that one ingests the virus and viral replication occurs in the <a href="http://en.wikipedia.org/wiki/Alimentary_tract" target="_blank" title="Alimentary tract">alimentary tract</a>. Virus is shed in the feces of infected individuals. In 95% of cases only a primary, transient presence of <a href="http://en.wikipedia.org/wiki/Viremia" target="_blank" title="Viremia">viremia</a> (virus in the bloodstream) occurs, and the poliovirus infection is <a href="http://en.wikipedia.org/wiki/Asymptomatic" target="_blank" title="Asymptomatic">asymptomatic</a>. In about 5% of cases, the virus spreads and replicates in other sites such as <a href="http://en.wikipedia.org/wiki/Brown_fat" target="_blank" title="Brown fat">brown fat</a>, <a href="http://en.wikipedia.org/wiki/Reticuloendothelial" target="_blank" title="Reticuloendothelial">reticuloendothelial</a> tissue, and <a href="http://en.wikipedia.org/wiki/Muscle" target="_blank" title="Muscle">muscle</a>. The sustained viral replication causes secondary viremia and leads to the development of minor symptoms such as fever, headache and sore throat.<span style="color:#FF0000;"><strong>Paralytic poliomyelitis occurs in less than 1% of poliovirus infections</strong></span>. Paralytic disease occurs when the virus enters the <a href="http://en.wikipedia.org/wiki/Central_nervous_system" target="_blank" title="Central nervous system">central nervous system</a> (CNS) and replicates in <a href="http://en.wikipedia.org/wiki/Motor_neuron" target="_blank" title="Motor neuron">motor neurons</a> within the <a href="http://en.wikipedia.org/wiki/Spinal_cord" target="_blank" title="Spinal cord">spinal cord</a>, <a href="http://en.wikipedia.org/wiki/Brain_stem" target="_blank" title="Brain stem">brain stem</a>, or <a href="http://en.wikipedia.org/wiki/Motor_cortex" target="_blank" title="Motor cortex">motor cortex</a>, resulting in the selective destruction of motor neurons leading to temporary or permanent <a href="http://en.wikipedia.org/wiki/Paralysis" target="_blank" title="Paralysis">paralysis</a>. In rare cases, paralytic poliomyelitis leads to <a href="http://en.wikipedia.org/wiki/Respiratory_arrest" target="_blank" title="Respiratory arrest">respiratory arrest</a> and death.weakness and paralysis. Paralysis typically persists anywhere from days to weeks prior to recovery.</em> Reference:</p>
<ol><li id="user_cite_note-Bodian_1965-31">Bodian D and Horstmann DH (1969). <em>Polioviruse</em>. Philadelphia, Penn: Lippincott. pp. 430–73.</li>
<li id="user_cite_note-32"><strong><a href="http://en.wikipedia.org/wiki/Poliovirus#cite_ref-32" target="_blank">Jump up ^</a></strong> Sabin A (1956). "Pathogenesis of poliomyelitis; reappraisal in the light of new data". <em>Science</em> <strong>123</strong> (3209): 1151–7. <a href="http://en.wikipedia.org/wiki/Digital_object_identifier" target="_blank" title="Digital object identifier">doi</a>:<a href="http://dx.doi.org/10.1126%2Fscience.123.3209.1151" target="_blank">10.1126/science.123.3209.1151</a>. <a href="http://en.wikipedia.org/wiki/PubMed_Identifier" target="_blank" title="PubMed Identifier">PMID</a> <a href="http://www.ncbi.nlm.nih.gov/pubmed/13337331" target="_blank">13337331</a>.</li>
<li id="user_cite_note-33"><strong><a href="http://en.wikipedia.org/wiki/Poliovirus#cite_ref-33" target="_blank">Jump up ^</a></strong> <a href="http://emedicine.medscape.com/article/306440-overview" target="_blank">http://emedicine.medscape.com/article/306440-overview</a></li>
<li id="user_cite_note-34"><strong><a href="http://en.wikipedia.org/wiki/Poliovirus#cite_ref-34" target="_blank">Jump up ^</a></strong> <a href="http://emedicine.medscape.com/article/967950-overview" target="_blank">http://emedicine.medscape.com/article/967950-overview</a></li>
</ol></div>
</div>
<p> </p>
<div class="quote-container" data-huddler-embed="/community/t/1394455/trying-to-get-accurate-info-on-syrian-polio-outbreak#post_17528539" data-huddler-embed-placeholder="false"><span style="line-height:1.5em;">Are you seriously accusing the WHO of deliberately infecting people with polio as part of some type of PR campaign?  Because that's what it sounds like, and that is seriously nuts.  </span></div>
<p> </p>
<p>FYI, the oral vaccine is the vaccine of choice in an active outbreak, specifically because of the fecal-oral route of transmission.  People are more likely to acquire immunity via passive exposure to the vaccine-type virus and because the OPV is much, much more effective and provides life-long immunity.</p>
<p> </p>
<p>You might want to read up on the difference between and live virus and a live <em>attenuated</em> virus before you go accusing health care workers who are risking their lives by entering a war-torn country of deliberately infecting children with a deadly disease.</p>
 

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Read the information. Polio Is milld disease 99 per cent of the time. People with low immunity have been known to GET Polio and die from coming in contact with the feces of pp who have been recently given the orall vaccine.<br><br>
Do you think biological warfare is not being practiced? I justentioned thar it was a possibility that giving the ORAL vaccine when the injectable is safer sounds suspect.<br><br>
I form my own opinions and I don't appreciate being insulted and called crazy.<br><br>
Please read the rules on MDC.<br><br>
Thank you.
 
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<div class="quote-container" data-huddler-embed="/community/t/1394455/trying-to-get-accurate-info-on-syrian-polio-outbreak#post_17528671" data-huddler-embed-placeholder="false">Quote:
<div class="quote-block">Originally Posted by <strong>MaggieLC</strong> <a href="/community/t/1394455/trying-to-get-accurate-info-on-syrian-polio-outbreak#post_17528671"><img alt="View Post" src="/community/img/forum/go_quote.gif" style=""></a><br><br>
Read the information. Polio Is milld disease 99 per cent of the time. People with low immunity have been known to GET Polio and die from coming in contact with the feces of pp who have been recently given the orall vaccine.<br><br>
Do you think biological warfare is not being practiced? I justentioned thar it was a possibility that giving the ORAL vaccine when the injectable is safer sounds suspect.<br><br>
I form my own opinions and I don't appreciate being insulted and called crazy.<br><br>
Please read the rules on MDC.<br><br>
Thank you.</div>
</div>
<p> </p>
<p>Well, you're entitled to your own opinions, but not your own facts.  OPV is the correct vaccine to use in an outbreak situation.</p>
 

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<p>Also, I'd like to see your evidence that all the cases of polio since the initial one were iatrogenic.  You seem very definite on that point.</p>
 

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I said it was possible since once LIVE Polio is introduced into an area many of the cases may just well be iatrogenic since LIVE POLIO is <b>contagious</b><br><br>
Can you prove that the oral form MUST be used in an "outbreak?"
 

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<div class="quote-container" data-huddler-embed="/community/t/1394455/trying-to-get-accurate-info-on-syrian-polio-outbreak#post_17528763" data-huddler-embed-placeholder="false">Quote:
<div class="quote-block">Originally Posted by <strong>MaggieLC</strong> <a href="/community/t/1394455/trying-to-get-accurate-info-on-syrian-polio-outbreak#post_17528763"><img alt="View Post" src="/community/img/forum/go_quote.gif" style=""></a><br><br>
I said it was possible since once LIVE Polio is introduced into an area many of the cases may just well be iatrogenic since LIVE POLIO is <strong>contagious</strong><br><br>
Can you prove that the oral form MUST be used in an "outbreak?"</div>
</div>
<p> </p>
<p>Actually, you said, and I quote, "Maybe, maybe the first few cases were wild Polio, but any Polio <em>seen after these kids get LIVE ORAL Polio</em> vaccine is caused by the people administering this stuff, thus iatrogenic."</p>
<p> </p>
<p>You didn't say it was possible.  You said it was a fact.  Words matter.</p>
<p> </p>
<p>"Prove" the oral form must be used?  Well, no more than I can "prove" that you use ciprofloxacin to treat pseudomonas rather than cephalexin.  There a right way to do things and a wrong way.</p>
 

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I stated an opinion. Don't put words in my mouth. I never used the word "fact. "<br><br>
Ok I see how it is. YOU say something therefore everyone should simply believe you without question. You one of those people who think there is only ONE right way to do everything? No thanks that's the reason I gave up discussing <b>anything</b> with pp like my conservative FIL 15 years before he died. He was never wrong in his own mind and to him there was only "a right way or a wrong way" to do everything. Good luck with that view.<br>
W<br>
Conversation over. I don't discusd things with people who don't even consider the possibility they could be wrong but DEMAND PROOF for the things other pp say.
 

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<p>I'm not putting words into your mouth!  You said, and again, I'll quote, "Maybe, maybe the first few cases were wild Polio, but any Polio <em>seen after these kids get LIVE ORAL Polio</em> vaccine is caused by the people administering this stuff, thus iatrogenic."</p>
<p> </p>
<p>You said any polio seen after the vaccine IS CAUSED by the the people administering it.</p>
<p> </p>
<p>Stand by your words or retract them, if that's not what you meant.  But don't tell me that I'm assigning a meaning to something that you said yourself.</p>
<p> </p>
<p>As far as how to vaccinate during an outbreak, that's not my opinion. It's a fact.  And it's not because I say it- it's because that's how it's done.  Here, read it for yourself.  </p>
<p> </p>
<p><a href="http://www.polioeradication.org/Portals/0/Document/Resources/PolioEradicators/1a.PolioOutbreakGuideline20110107.pdf" target="_blank">http://www.polioeradication.org/Portals/0/Document/Resources/PolioEradicators/1a.PolioOutbreakGuideline20110107.pdf</a></p>
<p> </p>
<p>Sometimes there is a right way to do things and a wrong way.  In the case of a polio outbreak, vaccination with the OPV is the right way.</p>
 

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<p>Since we are talking about Polio I thought I'd share this 3 minute video that was recently published.  And sign the petition, if you can.  I know in the US there isn't any live polio but there are children that are suffering due to lack of vaccines in these war torn countries.  </p>
<p> </p>
<p>
</p>
<p> </p>
<p>And this one minute long video by the Bill and Melinda Gates Foundation called "Polio's last percent" </p>
<p> </p>
<p>
</p>
 
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<div class="quote-block">Originally Posted by <strong>Chknlovr</strong> <a href="/community/t/1394455/trying-to-get-accurate-info-on-syrian-polio-outbreak#post_17528943"><img alt="View Post" src="/community/img/forum/go_quote.gif" style=""></a><br><br>
 
<p> </p>
<p><strong>Stand by your words or retract them, if that's not what you meant</strong>.  But don't tell me that I'm assigning a meaning to something that you said yourself.</p>
<p> </p>
<p>As far as how to vaccinate during an outbreak, that's not my opinion. It's a fact.  And it's not because I say it- it's because that's how it's done.  Here, read it for yourself.  </p>
<p> </p>
<p><a href="http://www.polioeradication.org/Portals/0/Document/Resources/PolioEradicators/1a.PolioOutbreakGuideline20110107.pdf" target="_blank">http://www.polioeradication.org/Portals/0/Document/Resources/PolioEradicators/1a.PolioOutbreakGuideline20110107.pdf</a></p>
<p> </p>
<p>Sometimes there is a right way to do things and a wrong way.  In the case of a polio outbreak, vaccination with the OPV is the right way.</p>
</div>
</div>
<p>Don't tell me what to do.</p>
<p> </p>
<p>BLOCK!</p>
 

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<div class="quote-container" data-huddler-embed="/community/t/1394455/trying-to-get-accurate-info-on-syrian-polio-outbreak#post_17528539" data-huddler-embed-placeholder="false">Quote:
<div class="quote-block">Originally Posted by <strong>MaggieLC</strong> <a href="/community/t/1394455/trying-to-get-accurate-info-on-syrian-polio-outbreak#post_17528539"><img alt="View Post" src="/community/img/forum/go_quote.gif" style=""></a><br>
 
<p>I don't know how accurate the reports are, that much paralysis sounds really high! It takes months or a year for the original symptoms and inflammation of Polio to calm and at least a year to know if a child will be paralyzed. (My dad had Polio in the 1940s, absolutely no paralysis, no iron lung, no lasting effects, but was in bed for around 6 months so our family is quite familiar with it.) Of course in the majority of cases, Polio presents as a really bad upper respiratory infection (it's how my dad's and everybody elses in the 1930s and 40s started)  and <em>never</em> goes beyond a respiratory infection so MANY cases go undiagnosed.</p>
<p> </p>
</div>
</div>
<p> </p>
<p>Where is anything said about already there being children with permanent paralysis? </p>
<p> </p>
<div class="quote-container">Quote:
<div class="quote-block">
<div> 
<p>Also, these camps are not clean, people are packed in together and human waste is flowing through the streets, AND SO they use <em>Oral Polio Vaccine </em>which is ALIVE and is <em>excreted in the stool for up to 6 months after vaccination! </em>Using LIVE polio vaccine will only INCREASE polio rates in the area because anyone who is exposed to the stool of children who are getting the vaccine a<em>re being exposed to LIVE POLIO. Why </em>would they do this? A ploy to "show how dangerous it is not to be vaccinated?" Sounds like the intentional exacerbation of events. Maybe, maybe the first few cases were wild Polio, but any Polio <em>seen after these kids get LIVE ORAL Polio </em>vaccine is caused by the people administering this stuff, thus iatrogenic.</p>
<p> </p>
<p>Frustrating as heck to use human lives for political gain. The <em>smart</em> thing to do would be to use the INJECTED Polio vaccine, which is a killed vaccine and cannot be transferred in stool or any other bodily fluid and cause more Polio.</p>
</div>
</div>
</div>
<p> </p>
<p>No, it would not be a smart thing to use injected polio in an outbreak situation because injected polio is not nearly as good a oral at preventing the spread of wild polio.    If you are vaccinated with injected polio, it will almost certainly prevent you from being paralyzed or having symptoms if exposed to polio, but it might not keep you from getting, and if you do, you could excrete wild poilio and so infect others.  </p>
<p> </p>
<p>Oral polio virus can cause paralysis, which is why it is not used in countries that are currently polio-free.  However, it is much, much, much less likely to cause paralysis than wild polio, which is why in place where wild polio is spreading, it is is not necessarily a bad thing for oral polio to spread a little bit a people who have oral polio virus (whether they were vaccinated with it directly or got it from someone who was vaccinated) are highly unlikely to suffer any negative effects from it and will afterwards have the benefit of not catching or spreading wild polio if they are exposed to it later.  </p>
<p> </p>
<p>If oral polio is allowed to spread too far that can be a bad thing as if allowed to go through too many generations it can mutate into a more dangerous form of virus.  This is why in outbreaks it is important to vaccinate as many people will get either the original pure oral polio virus directly or from someone who was vaccinated so it doesn't have time to mutate thew way it could if it was passed from person to person through a long chain of people.  </p>
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<p>Using the injected form of the vaccine in an outbreak would prevent many cases of paralysis and could slow the outbreak a little but will not stop the outbreak the way the oral vaccine can.</p>
 

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Poliobis far more than respiratory infection. It doesn't take a year for paralysis to appear. Yes, that many kids can get very ill at ones. This is why US had so many wards with iron lungs before mass vaccinations. There are always resurgence of preventable VPDs in time of war and other social upheavals because rates of vaccinations go down, sanitary and nutrition conditions also worsen. Syria has a perfect storm situation right now.
 

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<div class="quote-container" data-huddler-embed="/community/t/1394455/trying-to-get-accurate-info-on-syrian-polio-outbreak#post_17527848" data-huddler-embed-placeholder="false">Quote:
<div class="quote-block">Originally Posted by <strong>mamakah</strong> <a href="/community/t/1394455/trying-to-get-accurate-info-on-syrian-polio-outbreak#post_17527848"><img alt="View Post" src="/community/img/forum/go_quote.gif" style=""></a><br>
 
<p>I posted this in the "debate" forum because I'm hoping to get accurate info on the Syrian Polio outbreak. Last I read, there were 22 cases, but today I was told that 17 children have been paralyzed. That seems like a really high percentage considering the size of the outbreak. Does anyone have up-to-date info? I went to the WHO website, but it hasn't been recently updated. Thanks. </p>
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<p>I would also love to know but have not heard any thing!</p>
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<p>as I asked in the last thread on this - why isn't there any information (I had posted what I saw) or deep concern with a population that had very high numbers pre conflict and how the vaccine seems to not have worked (as expected??) now we are re-vaccinating most - I certainly understand break down in conflict but given the previous high numbers and the part I posted that even adults traveling to the area have to <span style="text-decoration:underline;">re</span>-vaccinate, does this mean the vaccine (either one really) doesn't work as expected? Re-vaccination a concern? </p>
 

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<p>It looks like the next update is scheduled for December 26 so hopefully we'll get more information then.</p>
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<p>As to why the vaccination campaign... Coverage has dropped significantly for one. It's something like 65% now. So we have a new population of susceptible individuals - mostly children - that warrant protecting.</p>
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<p>Secondly, Syria had been polio-free since 1999. They had switched to the IPV. So the reason they want to revaccinate with OPV is for all the reasons pers talked about in her post. IPV is great for preventing disease in an individual, but not so great at preventing transmission. Given the living conditions in Syria right now, it's believable that the wild type polio could again become endemic. Reducing transmission will help avoid that.</p>
 
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