Jpn. J. Infect. Dis., 52, 146-149, 1999
Original Article
Genetic Analysis of Wild Polioviruses towards the Eradication of Poliomyelitis from the Western Pacific Region
Akio Hagiwara*, Tetsuo Yoneyama, Kumiko Yoshii, Hiromu Yoshida, Hiroyuki Shimizu, Junko Wada, Nguyen Thi Hien Thanh, Phan Van Tu and Tatsuo Miyamura
Laboratory of Enteroviruses, Department of Virology II, National Institute of Infectious Diseases, Gakuen 4-7-1, Musashimurayama, Tokyo 208-001
(Received June 7, 1999. Accepted August 13, 1999)
SUMMARY: Since a laboratory network to eradicate poliomyelitis
in the Western Pacific region started in 1991, the Department
of Virology II, National Institute of Infectious Diseases, has
been functioning as a regional reference laboratory. From 1992
to 1998, we examined 5453 stool samples collected from 3501 patients
with acute flaccid paralysis in Cambodia, Vietnam and Laos, and
isolated 392- type 1 and 10- type 3 wild polioviruses. As a result
of the extensive immunization during this time in this area, the
numbers of poliomyelitis cases by wild polioviruses have drastically
decreased. In 1997, only nine type 1 wild polioviruses were isolated.
Eight out of the nine cases were found in Cambodia, and one was
in mid-Vietnam. Since then no wild polioviruses have been isolated
in the Western Pacific Region for more than two years. A nucleotide
sequence analysis of these 1997 isolates indicated that they all
belonged to the same strain that has been prevailing in the Indochina
area, suggesting the complete interruption of wild poliovirus
transmission in the region.
*Corresponding author: E-mail ahagiwar@nih.go.jp
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