Summary:
Global eradication of poliomyelitis launched and coordinated by the World Health Organization
since 1988 is close to being achieved: the main objective is to discontinue the circulation of the
wild, neurovirulent, endemic virus of poliomyelitis. Although this objective has been within the
reach, there are two other risks, lower but existing and posing possible threat to the eradication,
that need to be controlled: 1) wild polioviruses stored in laboratories should be destroyed or
reliably contained and 2) emergence and epidemic role of neurovirulent polioviruses potentially
derived from attenuated oral polio vaccine should be prevented. After all these global eradication
objectives are met and three years relapse from its certification, under intensive and sensitive
surveillance, it will be possible to consider whether or not to stop vaccination against
poliomyelitis in the world. The global eradication of poliomyelitis is a complex issue that will
require further efforts in the field of both the biomedical research and organizational, economic
and political approaches. In the Czech Republic, poliomyelitis has been eradicated since 1960. The
former Czechoslovakia was the first country in the world to achieve and to scientifically
demonstrate nationwide eradication of poliomyelitis. The current post-eradication surveillance of
poliomyelitis in the Czech Republic is managed by the Centre of Epidemiology and Microbiology
of the National Institute of Public Health in cooperation with the Ministry of Health of the Czech
Republic, WHO Regional Office for Europe in Copenhagen and National Certification Committee
for Poliomyelitis Eradication.
Key words:
poliomyelitis – prevention and control – global eradication – situation in the Czech
Republic
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