Genetic Characterization of Novel Oral Polio Vaccine Type 2 Viruses During Initial Use Phase Under Emergency Use Listing — Worldwide, March–October 2021

Javier Martin, Cara C. Burns*, Jaume Jorba, Lester M. Shulman, Andrew Macadam, Dimitra Klapsa, Manasi Majumdar, James Bullows, Ann Frolov, Ryan Mate, Erika Bujaki, Christina J. Castro, Kelley Bullard, John Konz, Kaija Hawes, Jillian Gauld, Isobel M. Blake, Laina D. Mercer, Feyrouz Kurji, Arie VoormanOusmane M. Diop, M. Steven Oberste, John Modlin, Grace Macklin, Martin Eisenhawer, Ananda S. Bandyopadhyay, Simona Zipursky

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

What is already known about this topic? Sabin oral polio vaccine virus can revert to neurovirulence in populations with low immunity. A genetically stable novel type 2 oral poliovirus vaccine (nOPV2) was authorized for outbreak response use under a World Health Organization Emergency Use Listing. What is added by this report? Global nOPV2 genomic surveillance during March–October 2021 confirmed genetic stability of the primary attenuating site. What are the implications for public health practice? nOPV2 is used to respond to poliovirus outbreaks with comparatively low risk for generating new circulating strains. Given the background immunity, population dynamics, and scale of use, the consistent pattern of genetic characteristics of nOPV2 isolates is encouraging. nOPV2 surveillance should continue for the duration of the Emergency Use Listing.

Original languageEnglish
Pages (from-to)786-790
Number of pages5
JournalMorbidity and Mortality Weekly Report
Volume71
Issue number24
DOIs
StatePublished - 17 Jun 2022
Externally publishedYes

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