We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Polio Vaccination

Hans J. Eggers, MD; Th. Mertens, MD
JAMA. 1987;258(3):322-323. doi:10.1001/jama.1987.03400030038014.
Text Size: A A A
Published online


To the Editor.—  We were pleased to see the careful analysis of vaccine-associated paralytic poliomyelitis by Nkowane et al.1One important point concerns the estimate of the true risk of vaccineassociated poliomyelitis in susceptible individuals.2-4 This is of more than theoretical interest: in view of the changing epidemiologic situation in developed and developing countries, one has to assume that more and more children being vaccinated for the first time will be fully susceptible to all three poliovirus types. Thus, the rate of vaccineassociated poliomyelitis may be increasing.Needless to say, this does not call into question the extraordinary blessings of oral poliomyelitis vaccination, particularly in developing countries. But, whenever feasible, consideration should be given to a combined vaccination strategy using inactivated poliomyelitis vaccine for the first polio vaccinations in early infancy, together with diphtheria, tetanus, and pertussis vaccination. This protocol carries the additional advantage of avoiding the possible


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.