Vaccine-Derived Poliovirus Infection among Patients with Primary Immunodeficiency and Effect of Patient Screening on Disease Outcomes, Iran
Mohammadreza Shaghaghi
1, Shohreh Shahmahmoodi
1, Ali Nili, Hassan Abolhassani, Seyedeh Panid Madani, Ahmad Nejati, Maryam Yousefi, Yaghoob M. Kandelousi, Mona Irannejad, Shiva Shaghaghi, Seyed Mohsen Zahraei, Sussan Mahmoudi, Mohammad Mehdi Gouya, Reza Yazdani, Gholamreza Azizi, Nima Parvaneh, and Asghar Aghamohammadi
Author affiliations: Johns Hopkins Hospital, Baltimore, Maryland, USA (M. Shaghaghi); Tehran University of Medical Sciences, Tehran, Iran (M. Shaghaghi, S. Shahmahmoodi, A. Nili, H. Abolhassani, S.P. Madani, A. Nejati, M. Yousefi, Y.M. Kandelousi, M. Irannejad, S. Shaghaghi, R. Yazdani, N. Parvaneh, A. Aghamohammadi); Research Center for Immunodeficiencies, Tehran (M. Shaghaghi, A. Nili, H. Abolhassani, S.P. Madani, M. Irannejad, S. Shaghaghi, R. Yazdani, N. Parvaneh, A. Aghamohammadi); Karolinska University Hospital Huddinge, Stockholm, Sweden (H. Abolhassani); Ministry of Health and Medical Education, Tehran (S.M. Zahraei, S. Mahmoudi, M.M. Gouya); Alborz University of Medical Sciences, Karaj, Iran (G. Azizi); Non-Communicable Diseases Research Center, Karaj (G. Azizi)
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Figure 2
Figure 2. Timeline of Iran’s registry of iVDPV infection, showing the number of patients identified after acute flaccid paralysis or through screening, 1995–2018. The iVDPV detection rate was initially accelerated after implementation of the poliovirus screening program. The switch in vaccination schedule from trivalent to bivalent oral poliovirus vaccine was applied in 2016, leading to a decrease in iVDPV serotype 3 emergence. Two patients excreted iVDPVs with combined serotypes 1 and 2. One patient excreted 2 distinct iVDPVs (serotypes 2 and 3). Numbers in each square indicate the iVDPV serotype. iVDPV, immunodeficiency-associated vaccine-derived poliovirus; OPV, oral poliovirus vaccine.
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Page updated: October 15, 2019
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