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Thesis . 2023
License: CC BY NC ND
Data sources: Datacite
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Epidemiology and vaccination strategies against type-2 vaccine -derived poliovirus

Authors: Macklin, GR;

Epidemiology and vaccination strategies against type-2 vaccine -derived poliovirus

Abstract

In 1988, the World Health Assembly passed a resolution to eradicate poliomyelitis, a disease which was endemic in 125 countries and paralyzed 350,000 children per year. Primarily through the large-scale use of oral poliovirus vaccine (OPV), two of the three wild poliovirus (WPV) serotypes (types 2 and 3) have been declared as globally eradicated and transmission of type 1 remains uninterrupted only in Afghanistan and Pakistan. Unknown at the time of declaring eradication, vaccine-derived poliovirus (VDPVs)— strains that have genetically mutated from the poliovirus contained in OPV, pose a major challenge to eradication. Outbreaks of circulating VDPV (cVDPVs), mostly caused by the type 2 strain of OPV, have become particularly difficult to interrupt in recent years after the elective, globally synchronized cessation of routine use of type 2-containing live poliovirus vaccine. In the context of on-going outbreaks and declining population immunity, optimal vaccination strategies to prevent and control cVDPV2s are uncertain. The aims of this thesis are to evaluate the epidemiology of type 2 cVDPVs and synthesize optimal vaccination strategies: firstly, through generating evidence on the immunogenicity of alternative routine immunization schedules to understand population immunity; secondly, to understand the origin and dynamics of type 2 VDPV outbreaks; and finally, by incorporating the findings of these analyses into a compartmental transmission model, to evaluate outbreak response vaccination strategies with the novel type 2 oral poliovirus vaccine (nOPV2). This thesis has been targeted to inform the evolving policy questions of the Global Polio Eradication Initiative through generation of original evidence.

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    popularity
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    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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