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A new paradigm for international disease control: Lessons learned from polio eradication in Southeast Asia

Author

Listed:
  • Andrus, J.K.
  • Thapa, A.B.
  • Withana, N.
  • Fitzsimmons, J.W.
  • Abeykoon, P.
  • Aylward, B.

Abstract

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.

Suggested Citation

  • Andrus, J.K. & Thapa, A.B. & Withana, N. & Fitzsimmons, J.W. & Abeykoon, P. & Aylward, B., 2001. "A new paradigm for international disease control: Lessons learned from polio eradication in Southeast Asia," American Journal of Public Health, American Public Health Association, vol. 91(1), pages 146-150.
    • Handle: RePEc:aph:ajpbhl:2001:91:1:146-150_8
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    Cited by:

    1. R. Bruce Aylward & Roland W. Sutter & Steve L. Cochi & Kimberly M. Thompson & Hamid Jafari & David Heymann, 2006. "Risk Management in a Polio‐Free World," Risk Analysis, John Wiley & Sons, vol. 26(6), pages 1441-1448, December.

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