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In Haiti, stool specimens were not collected for any of the AFP cases reported during the past 5 years. The proportion of notification sites reporting weekly during the past 10 years has been above 80% in the Dominican Republic, except in 1999 when it was 50%. In Haiti, the proportion of notification sites reporting weekly has been below 50% for the past 10 years, except in 1998 when it was 95%. Enterovirus isolation has been above 15% in the Dominican Republic for the past 10 years, except in 1996 and 1999 when it was zero and in 1997 when it was 9% (7).
Koerber, et al. 1956. Yellow Fever Vaccination. WHO Monograph Series No. 30. World Health Organization, Geneva, Switzerland. 33. , and F. Cutts. 1998. Yellow Fever. Publication No. 11. Global Programme for Vaccines and Immunization, World Health Organization, Geneva, Switzerland. ] http://www. html. 34. , A. Gianella, M. Pirard, L. Cespedes, L. Lora, C. Peredo, J. L. Pelegrino, V. Vorndam, and M. Boelaert. 1999. Urbanisation of yellow fever in Santa Cruz, Bolivia. Lancet 353:1558–1562. 35. Vasconcelos, P.
These NIDs are generally held twice a year and are conducted 1 or 2 months apart. During each NID, 20 million children under 5 years of age in Brazil are vaccinated with OPV3. NIDs were first used during the introduction of OPV in the early 1960s in Cuba, where transmission is believed to have been interrupted in the early 1960s (Fig. 2). Live oral polio vaccine has never been used routinely in Cuba but is given only during NIDs, which are held in January and March of every year. The success of NIDs in Brazil is a reminder of the effectiveness of this strategy to interrupt transmission of the wild poliovirus.